Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 103794 | NY |
NPI | 1073696647 |
---|---|
Provider Name | Mr. Herbert Morton Lieber |
First Address | Brooklyn, NY 11229-2088 |
Second Address | Brooklyn, NY 11229-2088 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |