Provider Demographics
NPI:1760286140
Name:LIEB, REBECCA (NTP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:LIEB
Suffix:
Gender:
Credentials:NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 E 90TH ST
Mailing Address - Street 2:PHW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:914-844-8289
Mailing Address - Fax:
Practice Address - Street 1:14 E 90TH ST
Practice Address - Street 2:PHW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:914-844-8289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach