Individual
DONNA LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
120 TOMPKINS ST, CORTLAND, NY 13045-2429
(607) 753-1884
(607) 753-1540
Mailing address
120 TOMPKINS ST, CORTLAND, NY 13045-2429
(607) 753-1884
(607) 753-1540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004753
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51400B
PTAN
—
Enumeration date
09/14/2005
Last updated
08/19/2022
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