Individual
DR. JOSEPH P LEBERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 ESSJAY RD, WILLIAMSVILLE, NY 14221-8216
(716) 630-1135
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
1596811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010101201
UNIVERA
NY
01
—
000510339001
HEALTH NOW
NY
05
—
01075772
—
NY
01
—
040426001895
FIDELIS
NY
01
—
1402335
IHA
NY
01
—
161000580
EMPIRE
NY
01
—
24622
GHI
NY
01
—
290002946
RR MEDICARE
NY
Enumeration date
05/01/2006
Last updated
01/08/2020
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