Individual
DR. OLAF U LIEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 PRE EMPTION RD, SUITE 600, GENEVA, NY 14456-2069
(315) 719-0060
(315) 719-0230
Mailing address
PO BOX 1077, GENEVA, NY 14456-8077
(315) 719-0060
(315) 719-0230
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us