Individual
DR. KENT A LIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 864-6842
(716) 568-8455
Mailing address
PO BOX 2774, BUFFALO, NY 14240-2774
(716) 864-6842
(716) 568-8455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
170279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000510481002
COMM BLUE
NY
05
—
01192474
—
NY
01
—
6409389
IHA
NY
Enumeration date
07/25/2006
Last updated
02/23/2023
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