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Physician Compare National (NPI:1841522836)

HEALTHCARE PROVIDER: ABRAHAM ISSAC LIEBERMAN PT, DPT, FAAOMPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1841522836
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9133253693
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100819000244
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LIEBERMAN
Individual professional last name
Provider First Name ABRAHAM
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2009
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 6565 W LOOP S
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 450
Group Practice or individual's line 2 address
City BELLAIRE
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 774013532
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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