# PETER B. LIEBERT, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902113905
- **Authorized official:** PETER B. LIEBERT M.D. (PRESIDENT)
- **Authorized official phone:** (212) 369-8280

## Contact information

- **Practice address:** 1123 PARK AVE, NEW YORK, NY 10128-1241
- **Practice address phone:** (212) 369-8280
- **Practice address fax:** (917) 492-8129
- **Mailing address:** 1123 PARK AVE, NEW YORK, NY 10128-1241
- **Mailing address phone:** (212) 369-8280
- **Mailing address fax:** (917) 492-8129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 091245 | NY | Yes |

## Other

- **Enumeration date:** 09/13/2010
- **Last updated:** 09/13/2010