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Individual

ALEKSANDRA LIBERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
182 W MONTAUK HWY, SUITE H, HAMPTON BAYS, NY 11946-2345
(631) 723-0022
(631) 723-3304
Mailing address
182 W MONTAUK HWY, SUITE H, HAMPTON BAYS, NY 11946-2345
(631) 723-0022
(631) 723-3304

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
210674
NY
207R00000X
Internal Medicine Physician
Primary
210674
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01919488
NY
Enumeration date
08/11/2005
Last updated
10/27/2015
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