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NPI Code Detail

MEDICARE: MRS. MICHELLE M LIBERI LPN

MEDICARE:  MRS. MICHELLE M LIBERI  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse246362-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346326642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE M LIBERI LPN
Provider Business Mailing Address
First Line : 4345 CORY CORNERS RD
Second Line :
City : MARION
State : NY
Zip : 14505-9725
Country : US
Telephone Number : 315-926-5639
Fax Number :
Provider Business Practice Location Address
First Line : 4345 CORY CORNERS RD
Second Line :
City : MARION
State : NY
Zip : 14505-9725
Country : US
Telephone Number : 315-926-5639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2006
Last Update Date : 07/09/2007

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Directions to “ MRS. MICHELLE M LIBERI LPN” Practice Location

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