Individual
JULIE LIEBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4822
(516) 361-0686
Mailing address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4822
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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