Organization
COMMUNITY RADIOLOGY OF ERIE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LIEBERMAN M.D. (OWNER)
(716) 481-4717
Entity
Organization
Contact information
Practice address
51 S MEADOW DR, ORCHARD PARK, NY 14127-2722
(716) 481-4717
(716) 677-4299
Mailing address
PO BOX 18005, HAUPPAUGE, NY 11788-8805
(631) 517-8000
(631) 893-1923
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD418380
PA
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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