Healthcare Provider Details

I. General information

NPI: 1245234905
Provider Name (Legal Business Name): DAVID M LIEBERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 NOTT ST
SCHENECTADY NY
12308-2425
US

IV. Provider business mailing address

1462 ERIE BLVD SUITE 2
SCHENECTADY NY
12305-1026
US

V. Phone/Fax

Practice location:
  • Phone: 518-243-4178
  • Fax: 518-243-4173
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number170194
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number170194
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: