Liljeberg, Betsy Doria

Liljeberg, Betsy Doria is an individual health care provider with primary practice located at 1427 Genesee St , Utica NY 13501-4343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Liljeberg, Betsy Doria can be contacted via phone (315) 738-1428.

Contact Information

Primary practice address
1427 Genesee St Utica NY 13501-4343
Fax: (315) 738-1461
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400834-1 New York

Profile Details

NPI number 1487606885
LBN Legal business name Liljeberg, Betsy Doria
Credentials PSYNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 18th, 2008 - 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 1487606885 NPPES
New York MEDICAID 01039156
New York MEDICAID 00474180

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