Kogan-Liberman, Debora
Kogan-Liberman, Debora is an individual health care provider with primary practice located at 3415 Bainbridge Ave 4Th Floor, Bronx NY 10467-2403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Kogan-Liberman, Debora can be contacted via phone (718) 741-2332.Contact Information
Primary practice address
3415 Bainbridge Ave 4Th Floor
Bronx NY 10467-2403
Phone: (718) 741-2332
Fax: (718) 515-5426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 25MA06234800 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 003487-1 | New York |
Profile Details
| NPI number | 1972544054 |
|---|---|
| LBN Legal business name | Kogan-Liberman, Debora |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 6th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972544054 | NPPES |
| New York | MEDICAID | 03190732 |
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