Lieblich, Lawrence Martin

Lieblich, Lawrence Martin is an individual health care provider with primary practice located at 9 Brooksite Dr , Smithtown NY 11787-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Lieblich, Lawrence Martin can be contacted via phone (631) 390-7800.

Contact Information

Primary practice address
9 Brooksite Dr Smithtown NY 11787-3400
Phone: (631) 390-7800
Fax: (631) 390-7821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 135570 New York

Profile Details

NPI number 1619985462
LBN Legal business name Lieblich, Lawrence Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Dec 8th, 2023 - about 2 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 1619985462 NPPES
New York Other 68A30 EMPIRE BCBS
New York MEDICAID 00770021 EMPIRE BCBS
New York Other 11-2644403 EMPIRE BCBS
New York Other 218790P EMPIRE BCBS
New York Other AJ48951 EMPIRE BCBS
New York Other 218791P EMPIRE BCBS

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