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Individual

DR. RALPH WILLIAM LIEBLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
Mailing address
13 IVY LN, SPRING VALLEY, NY 10977-2007

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
135365
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00791286
NY
Enumeration date
12/27/2006
Last updated
07/08/2007
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