# DR. JAY ADAM LIEBERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407877004
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 254120-1 | NY | — |
| 207K00000X | Allergy & Immunology Physician | 48645 | TN | Yes |
| 207KA0200X | Allergy Physician | 48645 | TN | — |
| 207R00000X | Internal Medicine Physician | 2006015608 | MO | — |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 01/28/2025