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Organization

TERRY D LIEBMAN AND NADEEM T NASEEM

Active
Other names
Manhattan Avenue Family Dental PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. IRENE KUNKEL (OFFICE MANAGER)
(718) 389-4266
Entity
Organization

Contact information

Practice address
947 MANHATTAN AVE, BROOKLYN, NY 11222-1623
(718) 389-4266
(718) 389-7259
Mailing address
947 MANHATTAN AVE, BROOKLYN, NY 11222-1623
(718) 389-4266
(718) 389-7259

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00864806
NY
05
02226479
NY
Enumeration date
03/31/2008
Last updated
08/01/2008
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