Healthcare Provider Details

I. General information

NPI: 1528981487
Provider Name (Legal Business Name): DAVID LIEBERMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 GARDEN TER
SPRING VALLEY NY
10977-2118
US

IV. Provider business mailing address

38 GARDEN TER
SPRING VALLEY NY
10977-2118
US

V. Phone/Fax

Practice location:
  • Phone: 845-662-2916
  • Fax:
Mailing address:
  • Phone: 845-662-2916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: