Individual
MARK LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2844
(718) 283-8816
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
340355
NY
Other
Enumeration date
06/12/2006
Last updated
08/29/2022
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