MARYANA LIEDKE

PORT JEFFERSON STATION, NY
NPI1386987956
Former NameMARYANA FURMANSKY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NY  288433)
Enumeration Date2013-04-02
Last Update Date2021-12-09
Business Address
Dr. MARYANA LIEDKE DO
1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776-3386
Phone number: 631-364-9119
Mailing Address
Dr. MARYANA LIEDKE DO
1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776-3386
Phone number: 631-364-9119