Individual
DR. JONATHAN LIEBLICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
670 STONELEIGH AVE, PUTNAM HOSPITAL, CARMEL, NY 10512-3997
(845) 279-5711
Mailing address
43 KENSICO DR, 2ND FLOOR, MOUNT KISCO, NY 10549-1009
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
213763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02221176
—
NY
Enumeration date
07/28/2005
Last updated
07/08/2007
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