Provider Demographics
NPI:1902567704
Name:GELIEBTER, DAVID (EDD, NBC-HWC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:GELIEBTER
Suffix:
Gender:M
Credentials:EDD, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 E 26TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2437
Mailing Address - Country:US
Mailing Address - Phone:718-916-9059
Mailing Address - Fax:
Practice Address - Street 1:GERSHON (DUBENBOIM) ST. 44/1
Practice Address - Street 2:
Practice Address - City:BEERSHEBA
Practice Address - State:SOUHTERN DISTRICT
Practice Address - Zip Code:8424004
Practice Address - Country:IL
Practice Address - Phone:053-708-8769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3197113
Provider Identifiers
StateIdentifier IDID TypeIssuer
A-3197113OtherNATIONAL BOARD OF HEALTH & WELLNESS COACHES