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Individual

DR. GEORGE NICHOLAS LIBERIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
180 PHILLIPS HILL RD, SUITE 2B, NEW CITY, NY 10956-4132
(845) 354-8304
(845) 354-8308
Mailing address
180 PHILLIPS HILL RD, SUITE 2B, NEW CITY, NY 10956-4132
(845) 354-8304
(845) 354-8308

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
179480
NY
2086S0102X
Surgical Critical Care Physician
179480
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01488182
NY
Enumeration date
07/25/2006
Last updated
10/24/2011
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