Organization
NYSPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LIEBERMAN M.D. (DIRECTOR)
(212) 543-5301
Entity
Organization
Contact information
Practice address
623 WARBURTON AVE, HASTINGS ON HUDSON, NY 10706-1523
(914) 231-6393
Mailing address
565 BROADWAY, 2A, HASTINGS ON HUDSON, NY 10706-1730
(914) 231-6393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011960
NY
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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