Lieberman, Johanna Omark

Lieberman, Johanna Omark is an individual health care provider with primary practice located at 3415 Bainbridge Ave , Bronx NY 10467-2403. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Lieberman, Johanna Omark can be contacted via phone (718) 741-2396.

Contact Information

Primary practice address
3415 Bainbridge Ave Bronx NY 10467-2403
Phone: (718) 741-2396
Fax: (718) 920-6506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1972898203
LBN Legal business name Lieberman, Johanna Omark
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2011
Last updated Jun 15th, 2011 - 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.

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