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
Phone: (315) 738-1428
Fax: (315) 738-1461
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487606885 | NPPES |
New York | MEDICAID | 01039156 | |
New York | MEDICAID | 00474180 |
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