Individual
DR. OLAF U LIEBERG
Active
Individual
DR. OLAF U LIEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
118724
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00436508
—
NY
01
—
0598530
GHI
—
01
—
100675CU
PREFERRED CARE
—
01
—
1187244W
WORKERS COMPENSATION
NY
01
—
P00307208
RAILROAD MEDICARE
—
01
—
P010118724
BLUE CHOICE
—
01
—
P030118724
ROCHESTER BLUE SHIELD
—
Enumeration date
05/24/2006
Last updated
10/29/2009
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