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NPI Code Detail

MEDICARE: OLGA LIBERMAN MD

MEDICARE: OLGA LIBERMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist238040NY
2207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician238040NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518982610
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA LIBERMAN MD
Provider Business Mailing Address
First Line : 5 E 98TH ST
Second Line : BOX 1174
City : NEW YORK
State : NY
Zip : 10029-6501
Country : US
Telephone Number : 212-241-7952
Fax Number : 212-241-4611
Provider Business Practice Location Address
First Line : 1 S CENTRAL AVE
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-5443
Country : US
Telephone Number : 516-763-7820
Fax Number : 516-763-7825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 11/25/2024

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