Individual
JESSICA LIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 598-6500
Mailing address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 598-6500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307660-1
NY
Other
Enumeration date
08/05/2016
Last updated
04/05/2021
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