Lieberman, Steven
Lieberman, Steven is an individual health care provider with primary practice located at 98120 Queens Blvd , Rego Park NY 11374-4357. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lieberman, Steven can be contacted via phone (718) 896-4646.Contact Information
Primary practice address
98120 Queens Blvd
Rego Park NY 11374-4357
Phone: (718) 896-4646
Fax: (718) 897-1114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV002959-1 | New York |
Profile Details
| NPI number | 1013919521 |
|---|---|
| LBN Legal business name | Lieberman, Steven |
| Credentials | OD, FAAO, PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jun 18th, 2010 - about 15 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 | 1013919521 | NPPES |
| New York | Other | G400006721 | GROUP PTAN |
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