Individual
DR. JEFFREY WAYNE LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 FRANKLIN AVE STE 100, GARDEN CITY, NY 11530-2910
(516) 248-8334
(516) 248-1357
Mailing address
1000 FRANKLIN AVE STE 100, GARDEN CITY, NY 11530-2910
(516) 248-8334
(516) 248-1357
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
185736
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01276186
—
NY
Enumeration date
05/27/2005
Last updated
02/16/2021
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