Individual
DR. MICHAEL THOMAS LIEBERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801-4448
(518) 926-5600
(518) 926-5605
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-4413
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
225441
NY
Other
Enumeration date
03/30/2007
Last updated
03/07/2022
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