Individual
LAURA STACY LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2728 BEACH DR, MERRICK, NY 11566-4902
(516) 382-2270
Mailing address
2728 BEACH DR, MERRICK, NY 11566-4902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1001796
NY
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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