Individual
LIBERTY JEDIDIAH LILLIBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 BROADWAY RM 1510, NEW YORK, NY 10018-3368
(929) 205-4775
Mailing address
1430 BROADWAY RM 1510, NEW YORK, NY 10018-3368
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/24/2025
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