Individual
DR. PETER SELIG LIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FACS, FAAP
Contact information
Practice address
222 WESTCHESTER AVE, SUITE 403, WHITE PLAINS, NY 10604-2906
(914) 428-3533
(914) 946-8766
Mailing address
222 WESTCHESTER AVE, SUITE 403, WHITE PLAINS, NY 10604-2906
(914) 428-3533
(914) 946-8766
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
028589
CT
2086S0120X
Pediatric Surgery Physician
Primary
093575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00607570
—
NY
01
—
082589
CONN. LISCENCE #
CT
01
—
093575
NEW YORK LISCENCE #
NY
Enumeration date
09/16/2006
Last updated
01/15/2015
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