Lieberman, Benn Larkin

Lieberman, Benn Larkin is an individual health care provider with primary practice located at 105 S Bedford Rd Suite 330, Mount Kisco NY 10549-3441. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Lieberman, Benn Larkin can be contacted via phone (914) 242-1142.

Contact Information

Primary practice address
105 S Bedford Rd Suite 330 Mount Kisco NY 10549-3441
Phone: (914) 242-1142
Fax: (914) 242-1147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 051590 New York

Profile Details

NPI number 1255489977
LBN Legal business name Lieberman, Benn Larkin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Dec 9th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255489977 NPPES
New York MEDICAID 02587699

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