Individual provider · Type 1 NPI
Marvin Lieber, MD
Pediatric Adolescent Medicine Physician · Stony Brook, NY
NPI number
1386915544
Active
Practice location
58 Sycamore Cir
Stony Brook, NY 11790-3147
Mailing address
2544 W Muirfield Dr
Anthem, AZ 85086-1183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 121619 (NY) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
About NPI 1386915544
Marvin Lieber, MD's National Provider Identifier is 1386915544, issued on Jan 19, 2012. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Stony Brook, NY. The record was last updated on Jan 19, 2012.