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1144646498
DEREK LIEBERMAN
GARDEN CITY, NY
NPI
1144646498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 01749)
Enumeration Date
2014-03-11
Last Update Date
2014-03-11
Business Address
-- DEREK LIEBERMAN
877 STEWART AVE
GARDEN CITY, NY 11530-4803
Phone number: 516-745-0202
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Mailing Address
-- DEREK LIEBERMAN
544 N LEWIS AVE
LINDENHURST, NY 11757-3536
Phone number: 631-245-2514
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