Individual
NICOLE ALEXANDRA LIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
214 50TH AVE APT 809W, LONG ISLAND CITY, NY 11101-5948
(917) 843-7784
Mailing address
214 50TH AVE APT 809W, LONG ISLAND CITY, NY 11101-5948
(917) 843-7784
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
646131
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431163
NY
Other
Enumeration date
07/28/2017
Last updated
04/18/2019
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