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Individual

DR. DANIEL LIEBERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
92 TRAFFIC AVENUE, OCEAN BAY PARK, NY 11779
(631) 495-1801
(631) 423-0688
Mailing address
PO BOX 788, OCEAN BEACH, NY 11770-0788
(631) 495-1801
(631) 423-0688

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
178079
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
14585
HI
2084P0804X
Child & Adolescent Psychiatry Physician
178079
NY

Other

Enumeration date
12/27/2006
Last updated
08/25/2015
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