Lieberman, Ira

Lieberman, Ira is an individual health care provider with primary practice located at 27005 76Th Ave Anesthesia Department, New Hyde Park NY 11040-1433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lieberman, Ira can be contacted via phone (718) 470-7390.

Contact Information

Primary practice address
27005 76Th Ave Anesthesia Department New Hyde Park NY 11040-1433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 182758 New York

Profile Details

NPI number 1891795704
LBN Legal business name Lieberman, Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Nov 5th, 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 1891795704 NPPES
New York Other P00102945 RAILROAD MEDICARE
New York MEDICAID 01456853 RAILROAD MEDICARE
New York Other CB2838 RAILROAD MEDICARE

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