Lieberman, Jeffrey

Lieberman, Jeffrey is an individual health care provider with primary practice located at 3055 Southwestern Blvd Suite 104, Orchard Park NY 14127-1231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lieberman, Jeffrey can be contacted via phone (716) 677-6736.

Contact Information

Primary practice address
3055 Southwestern Blvd Suite 104 Orchard Park NY 14127-1231
Phone: (716) 677-6736
Fax: (716) 677-6144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 182918 New York

Profile Details

NPI number 1932109253
LBN Legal business name Lieberman, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 17th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932109253 NPPES
Other 00040819806 UNIVERA
Other 300136886 UNIVERA
Other P00420095 UNIVERA
Other CRDRA1829183 UNIVERA
Other 000523824010 UNIVERA
Other 208616656 UNIVERA
MEDICAID 01616022 UNIVERA
Other 5608639 UNIVERA

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