Individual
DR. DAVID ALAN LIEBERGALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 ROUTE 59, SUITE 207, SUFFERN, NY 10901-5204
(845) 357-2500
(845) 368-3937
Mailing address
222 ROUTE 59, SUITE 207, SUFFERN, NY 10901-5204
(845) 357-2500
(845) 368-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
190962
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01504847
—
NY
01
—
190962
STATE LICEBSE NUMBER
NY
Enumeration date
01/12/2006
Last updated
07/08/2007
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