Individual
JEFFREY LIEBERMAN
Active
Individual
JEFFREY LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
182918
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040819806
UNIVERA
—
01
—
000523824010
BLUE SHIELD OF WESTERN NY
—
05
—
01616022
—
NY
01
—
208616656
FIDELIS
—
01
—
300136886
RAILROAD MEDICARE
NY
01
—
5608639
INDEPENDANT HEALTH
—
01
—
CRDRA1829183
WORKERS COMPENSATION
NY
01
—
P00420095
RAILROAD MEDICARE
—
Enumeration date
07/28/2005
Last updated
07/17/2012
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