Individual provider · Type 1 NPI

Mark Lieberman, PA

Medical Physician Assistant · Brooklyn, NY

NPI number 1902202138 Active

Practice location

890 Bedford Ave
Brooklyn, NY 11205-4251

Call (718) 218-6089 Map

Mailing address

1954 Kimball St
Brooklyn, NY 11234-4512

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1902202138

Mark Lieberman, PA's National Provider Identifier is 1902202138, issued on Nov 16, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 22, 2021.