Lisa A Liberatore
Otolaryngology/Facial Plastic Surgery
154 East 85 Street
New York
, New York 10028
Lisa A Liberatore
Otolaryngology/Facial Plastic Surgery
154 East 85 Street
New York
, New York 10028
(212) 288-8082
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Lisa A Liberatore
- 154 East 85 Street
- New York, NY
- Zip : 10028
- Fax : (212) 288-8082
- Phone : (212) 288-2222
Second Address
- Lisa A Liberatore
- 154 East 85 Street
- New York, NY
- Zip : 10028
- Fax : (212) 288-8082
- Phone : (212) 288-2222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 189838 | NY |
National Provider Identifier
| NPI | 1871562934 |
|---|---|
| Provider Name | Lisa A Liberatore |
| First Address | New York, NY 10028 |
| Second Address | New York, NY 10028 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2006 |
| Last Update Date | 04/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G19135 | (02) |
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.