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Individual
DR. ROBERT GEORGE LIEB
Active
Individual
DR. ROBERT GEORGE LIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5475660001
DMEPOS
NY
01
—
C-10797-1B
WORKERS COMPENSATION
NY
Enumeration date
12/08/2005
Last updated
02/22/2012
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