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NPI Code Detail

MEDICARE: TERRY D LIEBMAN AND NADEEM T NASEEM

MEDICARE: TERRY D LIEBMAN AND NADEEM T NASEEM
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
1261QD0000XDental Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609048644
Entity Type Code : Organization
Provider Name (Legal Business Name) : TERRY D LIEBMAN AND NADEEM T NASEEM
Provider Business Mailing Address
First Line : 947 MANHATTAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-1623
Country : US
Telephone Number : 718-389-4266
Fax Number : 718-389-7259
Provider Business Practice Location Address
First Line : 947 MANHATTAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-1623
Country : US
Telephone Number : 718-389-4266
Fax Number : 718-389-7259
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. IRENE KUNKEL
Credential :
Telephone Number : 718-389-4266
Provider Enumeration Date : 03/31/2008
Last Update Date : 08/01/2008

Similar Medicare Providers

1790735967 — DR. NADEEM TAHIR NASEEM D.D.S.
Practice Location Address:
947 MANHATTAN AVE
BROOKLYN, NY
11222-1623
Practice Phone: 718-389-4266
Practice Fax:
1669519344 — DR. TERRY DAVID LIEBMAN D.D.S.
Practice Location Address:
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1699813816 — DR. NEIL ROBERT MATE D.D.S.
Practice Location Address:
947 MANHATTAN AVE
BROOKLYN, NY
11222-1623
Practice Phone: 718-389-4266
Practice Fax: 718-389-7259
1659874659 — NN INDUSTRIES
Practice Location Address:
947 MANHATTAN AVE
BROOKLYN, NY
11222-1623
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Practice Fax:
1710500657 — DR. NARINA MELIKYAN DDS
Practice Location Address:
947 MANHATTAN AVE
BROOKLYN, NY
11222-1623
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Practice Fax:
1699462028 — DR. JUNSEOK YONG DDS
Practice Location Address:
947 MANHATTAN AVE
BROOKLYN, NY
11222-1623
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Practice Fax:

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