Healthcare Provider Details

I. General information

NPI: 1336969468
Provider Name (Legal Business Name): SABRINA LILY LIEBERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 THROOP AVE
BROOKLYN NY
11206-5334
US

IV. Provider business mailing address

240 E 46TH ST
NEW YORK NY
10017-2956
US

V. Phone/Fax

Practice location:
  • Phone: 929-210-9333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: