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Individual

MR. CURTIS CHARLES LIEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
10 GEORGE ST, OSWEGO, NY 13126-3276
(315) 598-4790
(315) 593-6195
Mailing address
239 ONEIDA ST, FULTON, NY 13069-1228
(315) 598-4715
(315) 598-4733

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015635
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02997217
NY
Enumeration date
03/21/2007
Last updated
11/02/2012
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