Individual
MISS JENNIFER DENISE LIBURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9002 QUEENS BLVD, ELMHURST, NY 11373-4941
(718) 558-5711
Mailing address
19 LANDAU LN, SPRING VALLEY, NY 10977-1826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
201137
NY
208000000X
Pediatrics Physician
Primary
201137
NY
Other
Enumeration date
06/29/2006
Last updated
05/15/2023
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