Individual
DR. STEVEN LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, FAAO, PC
Contact information
Practice address
98120 QUEENS BLVD, REGO PARK, NY 11374-4357
(718) 896-4646
(718) 897-1114
Mailing address
98120 QUEENS BLVD, REGO PARK, NY 11374-4357
(718) 896-4646
(718) 897-1114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV002959-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G400006721
GROUP PTAN
NY
Enumeration date
08/15/2005
Last updated
06/18/2010
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