Individual
DR. DIANE AXT LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RD ,CSR ,CDN
Contact information
Practice address
505 E 70TH ST, ROOM 245, NEW YORK, NY 10021-4872
(212) 746-1577
(212) 746-8380
Mailing address
95 W. 95TH STREET, APT. 32E, NEW YORK, NY 10025-6787
(212) 746-1577
(212) 746-8380
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
001407-1
NY
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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