Individual
MRS. ANITA M LIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
2310 NOTT STREET EAST, SUITE 3, NISKAYUNA, NY 12309
(518) 374-6263
(518) 289-5225
Mailing address
5 HEMPHILL PLACE, SUITE 121, MALTA, NY 12020
(518) 289-5072
(518) 289-5225
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405632-01
NY
Other
Enumeration date
02/09/2024
Last updated
07/29/2024
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