Individual
DR. MICHELLE LIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 E MIDDLE COUNTRY RD, SUITE 201, SMITHTOWN, NY 11787-2982
(631) 265-8780
Mailing address
260 E MIDDLE COUNTRY RD, SUITE 201, SMITHTOWN, NY 11787-2982
(631) 265-8780
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
211720-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02323339
—
NY
Enumeration date
01/27/2006
Last updated
10/19/2016
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