Individual
CHRISTINE LIEBERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10021-6007
(212) 639-7216
Mailing address
475 MAIN ST APT 7R, NEW YORK, NY 10044-0089
(212) 639-7216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F310776
NY
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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