National Provider Identifier
Jan Liberatore
Jan Liberatore is listed in the NPPES registry with a primary specialty of Optician in Horseheads, NY and a listed phone number of (607) 739-0325.
Profile Overview
- NPI
- 1417004664
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- January 03, 2007
- Last Updated
- July 08, 2007
Practice Location
- 2751 Westinghouse RD
- Horseheads, NY 14845-8100
Phone: (607) 739-0325
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1417004664
- Entity Type
- Individual
- Last Name
- Liberatore
- First Name
- Jan
- Name Prefix
- Mr.
- Mailing Street Address
- 2751 Westinghouse RD
- Mailing City
- Horseheads
- Mailing State
- NY
- Mailing ZIP Code
- 14845-8100
- Mailing Country
- US
- Mailing Phone
- (607) 739-0325
- Practice Street Address
- 2751 Westinghouse RD
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8100
- Practice Country
- US
- Practice Phone
- (607) 739-0325
- Enumeration Date
- January 03, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)