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Individual

IRWIN M LIEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
309 COUNTY ROUTE 47, STE 4, SARANAC LAKE, NY 12983-5405
(518) 891-1610
(518) 891-5726
Mailing address
309 COUNTY ROUTE 47, STE 4, SARANAC LAKE, NY 12983-5405
(518) 891-1610
(518) 891-5726

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
168738
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01022339
NY
Enumeration date
08/19/2005
Last updated
07/21/2022
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