Liebert, Michelle

Liebert, Michelle is an individual health care provider with primary practice located at 260 E Middle Country Rd Suite 201, Smithtown NY 11787-2982. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Liebert, Michelle can be contacted via phone (631) 265-8780.

Contact Information

Primary practice address
260 E Middle Country Rd Suite 201 Smithtown NY 11787-2982
Phone: (631) 265-8780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 211720-1 New York

Profile Details

NPI number 1306817549
LBN Legal business name Liebert, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Oct 19th, 2016 - about 8 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 1306817549 NPPES
New York MEDICAID 02323339

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