Individual
EDWARD JOSHUA LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
509 MADISON AVE, SUITE 1712, NEW YORK, NY 10022-5501
(212) 759-4486
Mailing address
78 RIDGE RD, KATONAH, NY 10536-1009
(914) 232-0680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
033352
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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