Individual
MR. JAN LIBERATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2751 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8100
(607) 739-0325
Mailing address
2751 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8100
(607) 739-0325
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C004009-1
NY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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