Individual
DR. BRAD GORDON LIEBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
862 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7505
(631) 673-5010
(631) 673-5014
Mailing address
862 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7505
(631) 673-5010
(631) 673-5014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT003655
NY
Other
Enumeration date
10/05/2006
Last updated
11/11/2008
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