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Individual

TAYLOR L LIEBERZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2631 MERRICK RD, BELLMORE, NY 11710-5730
(516) 535-9510
Mailing address
70 CHRISTOPHER CT, WOODBURY, NY 11797-1249
(516) 836-0093

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/13/2024
Last updated
02/13/2024
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