National Provider Identifier
Jeffrey Lieberman
Jeffrey Lieberman is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Orchard Park, NY and a listed phone number of (716) 677-6736.
Profile Overview
- NPI
- 1932109253
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- July 28, 2005
- Last Updated
- July 17, 2012
Practice Location
- 3055 Southwestern Blvd
- Suite 104
- Orchard Park, NY 14127-1231
Phone: (716) 677-6736
Mailing Address
- 51 S Meadow Dr
- Orchard Park, NY 14127-2722
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1932109253
- Entity Type
- Individual
- Last Name
- Lieberman
- First Name
- Jeffrey
- Mailing Street Address
- 51 S Meadow Dr
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2722
- Mailing Country
- US
- Mailing Phone
- (716) 662-0293
- Mailing Fax
- (716) 402-1862
- Practice Street Address
- 3055 Southwestern Blvd
- Practice Address Line 2
- Suite 104
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1231
- Practice Country
- US
- Practice Phone
- (716) 677-6736
- Practice Fax
- (716) 677-6144
- Enumeration Date
- July 28, 2005
- Last Updated
- July 17, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 00040819806 (Univera), 300136886 (NY, Railroad Medicare), P00420095 (Railroad Medicare), CRDRA1829183 (NY, Workers Compensation), 000523824010 (Blue Shield Of Western Ny), 208616656 (Fidelis), 01616022 (NY), 5608639 (Independant Health)