Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 211305 | NY |
NPI | 1417986878 |
---|---|
Provider Name | Dina Liberman |
First Address | Brooklyn, NY 11235-5501 |
Second Address | Brooklyn, NY 11235-5501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 30/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01878326 | (05) | NY |
G87273 | (02) | NY |