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Individual

JOANN LIBERTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
3911 N BUFFALO ST, ORCHARD PARK, NY 14127-1841
(716) 320-7949
Mailing address
66 WESTCLIFF DR, WEST SENECA, NY 14224-2838
(716) 536-4659

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
493443
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402190
NY

Other

Enumeration date
08/31/2016
Last updated
07/19/2022
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