Lieberthal, Wilfred

Lieberthal, Wilfred is an individual health care provider with primary practice located at 26 Research Way , East Setauket NY 11733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lieberthal, Wilfred can be contacted via phone (631) 444-0580.

Contact Information

Primary practice address
26 Research Way East Setauket NY 11733
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 236326 New York

Profile Details

NPI number 1972518793
LBN Legal business name Lieberthal, Wilfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1972518793 NPPES
New York Other 5940445 AETNA
New York MEDICAID 02005416 AETNA
New York Other 1807U3 AETNA

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