Individual
AYALA LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1420 AVENUE P, BROOKLYN, NY 11229-1189
(718) 339-7878
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060764
NY
Other
Enumeration date
02/22/2018
Last updated
09/18/2019
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