Individual
JONATHAN LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(561) 289-6702
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(561) 289-6702
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A187096
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
329336
NY
Other
Enumeration date
04/12/2019
Last updated
07/26/2024
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