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General NPI Number Information
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NPI Number | 1942154810
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Entity Type | Organization
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Legal Business Name | LIEBERMAN NP IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 233 7TH ST STE 200
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City | GARDEN CITY
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State | NY
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Zip | 11530-5747
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Country | US
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Telephone | 516-737-0361
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Fax |
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Provider Business Mailing Address
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Address Line | 3406 82ND ST APT 31
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-2902
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Country | US
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Telephone | 201-314-1760
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRAD LIEBERMAN
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Credential | JD, MSN, PMHNP
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Telephone | 201-314-1760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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