Jeffrey Lieberman, | |
3055 Southwestern Blvd, Suite 104, Orchard Park, NY 14127-1231 | |
(716) 677-6736 | |
(716) 677-6144 |
Full Name | Jeffrey Lieberman |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3055 Southwestern Blvd, Orchard Park, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932109253 | NPI | - | NPPES |
00040819806 | Other | UNIVERA | |
300136886 | Other | NY | RAILROAD MEDICARE |
P00420095 | Other | RAILROAD MEDICARE | |
CRDRA1829183 | Other | NY | WORKERS COMPENSATION |
000523824010 | Other | BLUE SHIELD OF WESTERN NY | |
208616656 | Other | FIDELIS | |
01616022 | Medicaid | NY | |
5608639 | Other | INDEPENDANT HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 182918 (New York) | Primary |
Entity Name | Rapid Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619300431 PECOS PAC ID: 2062734858 Enrollment ID: O20180927000146 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Lieberman, 51 S Meadow Dr, Orchard Park, NY 14127-2722 Ph: (716) 662-0293 | Jeffrey Lieberman, 3055 Southwestern Blvd, Suite 104, Orchard Park, NY 14127-1231 Ph: (716) 677-6736 |
Stephanie L Soehnlein, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-630-1112 Fax: 716-631-1178 | |
Dr. Henry Frederick Goller, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 40 Brookins Green Dr, Orchard Park, NY 14127 Phone: 716-662-3871 | |
John Michael Reiser, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 40 Birdsong Pkwy, Orchard Park, NY 14127 Phone: 716-574-2672 |