Mark Lieberman, CRNA | |
4802 10th Ave, Brooklyn, NY 11219-2844 | |
(718) 283-8816 | |
Not Available |
Full Name | Mark Lieberman |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4802 10th Ave, Brooklyn, 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 |
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1043252018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 340355 (New York) | Primary |
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569 |
Entity Name | Coney Island Medical Practice Plan, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
Mailing Address | Practice Location Address |
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Mark Lieberman, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (800) 242-1131 | Mark Lieberman, CRNA 4802 10th Ave, Brooklyn, NY 11219-2844 Ph: (718) 283-8816 |
Stephanie Joseph, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 506 6th St, Ny Methodist Hospital, Brooklyn, NY 11215 Phone: 718-780-3000 | |
Nikia S Nelson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 506 6th Street, Ny Methodist Hospital, Brooklyn, NY 11215 Phone: 718-780-3279 Fax: 718-780-3281 | |
Marina Hanukoff, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 506 6th Street, Ny Methodist Hospital, Brooklyn, NY 11215 Phone: 718-780-3279 | |
Ms. Margaret Mary Gill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Poly Pl, Brooklyn, NY 11209 Phone: 718-439-4163 | |
Ms. Rita M Riley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 55th Street, Brooklyn, NY 11220 Phone: 718-630-7452 Fax: 718-630-6322 | |
Ronell S Kirkley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-3279 |