Dr. Jay Adam Lieberman
Internist Allergist & Immunologist Allergist
51 N Dunlap St Suite 400
Memphis
, Tennessee 38105-4625
Dr. Jay Adam Lieberman
Internist Allergist & Immunologist Allergist
51 N Dunlap St Suite 400
Memphis
, Tennessee 38105-4625
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About
Features
Specialties
- Allergist & Immunologist
- Allergist
- Internist
Languages spoken
- English
Location
First Address
- Dr. Jay Adam Lieberman
- 850 Poplar Ave Bldg 2
- Memphis, TN
- Zip : 38105-4607
- Phone :
Second Address
- Dr. Jay Adam Lieberman
- 51 N Dunlap St Suite 400
- Memphis, TN
- Zip : 38105-4625
- Fax : (901) 266-6488
- Phone : (901) 287-7337
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | 254120-1 | NY |
| Y | 207KA0200X | Allergist | 48645 | TN |
| N | 207R00000X | Internist | 2006015608 | MO |
| N | 111NI0900X | Internist | 2006015608 | MO |
National Provider Identifier
| NPI | 1407877004 |
|---|---|
| Provider Name | Dr. Jay Adam Lieberman |
| First Address | Memphis, TN 38105-4607 |
| Second Address | Memphis, TN 38105-4625 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 04/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1528562 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.