National Provider Identifier
Olaf U Lieberg, MD
Olaf U Lieberg, MD is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician in Geneva, NY and a listed phone number of (315) 719-0060.
Profile Overview
- NPI
- 1417902867
- Provider Type
- Individual
- Primary Specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Enumeration Date
- May 24, 2006
- Last Updated
- October 29, 2009
Practice Location
- 789 Pre Emption RD
- Suite 600
- Geneva, NY 14456-2069
Phone: (315) 719-0060
Mailing Address
- PO Box 1077
- Geneva, NY 14456-8077
Specialties
- Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)
Full Record
- NPI
- 1417902867
- Entity Type
- Individual
- Last Name
- Lieberg
- First Name
- Olaf
- Middle Name
- U
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- PO Box 1077
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-8077
- Mailing Country
- US
- Mailing Phone
- (315) 719-0060
- Mailing Fax
- (315) 719-0230
- Practice Street Address
- 789 Pre Emption RD
- Practice Address Line 2
- Suite 600
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-2069
- Practice Country
- US
- Practice Phone
- (315) 719-0060
- Practice Fax
- (315) 719-0230
- Enumeration Date
- May 24, 2006
- Last Updated
- October 29, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)
- Other Identifiers
- 0598530 (Ghi), 100675CU (Preferred Care), 00436508 (NY), P030118724 (Rochester Blue Shield), P00307208 (Railroad Medicare), P010118724 (Blue Choice), 1187244W (NY, Workers Compensation)