Liebman, Brad Gordon

Liebman, Brad Gordon is an sole proprietor health care provider with primary practice located at 862 E Jericho Tpke , Huntington Station NY 11746-7505. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Liebman, Brad Gordon can be contacted via phone (631) 673-5010.

Contact Information

Primary practice address
862 E Jericho Tpke Huntington Station NY 11746-7505
Phone: (631) 673-5010
Fax: (631) 673-5014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT003655 New York

Profile Details

NPI number 1477649341
LBN Legal business name Liebman, Brad Gordon
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Nov 11th, 2008 - about 18 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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