Whalio Doctors

NPI 1043252018

Mark Lieberman, CRNA

Practitioner Certified Registered Nurse Anesthetist Brooklyn, NY

Practice location

Address
4802 10th Ave, Brooklyn, NY 11219-2844
Phone
(718) 283-8816
Mailing address
255 W Michigan Ave, Jackson, MI 49201-2218

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 340355 (NY)

Registry record

NPI
1043252018
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jun 2006
Record last updated
29 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.