Individual
AMY LIEBESKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 PARK AVE, NEW YORK, NY 10065-8141
(212) 888-1000
(212) 888-0188
Mailing address
525 PARK AVE, NEW YORK, NY 10065-8141
(212) 888-1000
(212) 888-0188
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
235581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02831414
—
NY
01
—
077XB1
BCBS EMPIRE
NY
05
—
1491292
—
LA
05
—
200273090A
—
OK
05
—
2829229
—
OH
Enumeration date
08/20/2006
Last updated
05/27/2010
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