Individual
EVAN LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 1ST AVE, FL 3, NEW YORK, NY 10016
(212) 263-5219
Mailing address
145 E 84TH ST, NEW YORK, NY 10028-2050
(917) 751-1835
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
316657
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2016
Last updated
07/07/2022
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