Organization
LONG ISLAND PRIMARY MEDICAL CARE/DBA VILLAGE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W. LIEBERMAN MD (PHYSICIAN)
(516) 248-8334
Entity
Organization
Contact information
Practice address
975 FRANKLIN AVE, SUITE 101, GARDEN CITY, NY 11530-2911
(516) 248-8334
Mailing address
975 FRANKLIN AVENUE,SUITE 101, SUITE 101, GARDEN CITY, NY 11783
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NY
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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