Individual
MARK LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
890 BEDFORD AVE, BROOKLYN, NY 11205-4251
(718) 218-6089
Mailing address
1954 KIMBALL ST, BROOKLYN, NY 11234-4512
(718) 859-0045
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/16/2014
Last updated
07/22/2021
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