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NPI Code Detail

MEDICARE: DINA LIBERMAN M.D.

MEDICARE:   DINA  LIBERMAN  M.D.
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
1207RA0201XAllergy & Immunology (Internal Medicine) Physician211305NY

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 : 1417986878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA LIBERMAN M.D.
Provider Business Mailing Address
First Line : 3065 BRIGHTON 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-5501
Country : US
Telephone Number : 718-368-3889
Fax Number : 718-368-2226
Provider Business Practice Location Address
First Line : 3065 BRIGHTON 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-5501
Country : US
Telephone Number : 718-368-3889
Fax Number : 718-368-2226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 11/30/2009

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