Lieberman, Kenneth V

Lieberman, Kenneth V is an individual health care provider with primary practice located at 30 Prospect Ave Humc - Pediatric Center, Hackensack NJ 07601-1914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Lieberman, Kenneth V can be contacted via phone (551) 996-8228.

Contact Information

Primary practice address
30 Prospect Ave Humc - Pediatric Center Hackensack NJ 07601-1914
Phone: (551) 996-8228
Fax: (551) 996-5397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 25MA07270700 New Jersey

Profile Details

NPI number 1174582951
LBN Legal business name Lieberman, Kenneth V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Sep 30th, 2022 - about 3 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 1174582951 NPPES
New York MEDICAID 00634193 046
New York Other 051590DHK
New York MEDICAID 0923702

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