DR. CHAYA LIEBA KOBERNICK


Address: 13523 78th Rd, Flushing, NY 11367-3239
Phone: 9174943708

DR. CHAYA LIEBA KOBERNICK (NPI# 1033760186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033760186
Entity Type Individual
Full Name DR. CHAYA LIEBA KOBERNICK
Credential PSYD
Practice Address 13523 78th Rd
Flushing
NY 11367-3239
Mailing Address 14756 70th Rd Apt 2
Flushing
NY 11367-1720
Practice Telephone 9174943708
Enumeration Date 2019-09-20
Last Update Date 2019-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
P102639 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY P102639 05
NY NA P102639 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2127 59th St, Brooklyn, NY 112042517 9174943708

Office Location

Street Address 13523 78TH RD
City FLUSHING
State NY
Zip Code 11367-3239

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NPI Name Taxonomy Address Enumeration
1821638008 Scarlett Sea Speech-Language Pathologist 31-36 88th St, Jackson Heights, NY 11367 2020-01-15
1528612090 Leora A Shimunov Specialist 147-32 70th Ave, Flushing, NY 11367 2019-08-01
1922651918 Triborough Medical Pllc Anesthesiology 150-31 Union Tpke, Office of Daniel Khaimov, Md, Flushing, NY 11367 2019-07-19
1700343993 Steven Bernard Markowitz Preventive Medicine Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 2019-02-25
1336617406 Amira Awadallah Pharmacist 15315 79 Ave, Flushing, NY 11367 2018-11-07
1336624097 Diana Yocheved Shalev Pharmacist 14905 79th Ave Apt 511, Flushing, NY 11367 2018-09-28
1417447731 Yashuo Fazilova Registered Nurse 144-60 Gravett Road, Apt. 2c, Flushing, NY 11367 2018-05-11
1467951947 Edward Pineles, M.d., P.C. Internal Medicine 69-20 Main Street, Flushing, NY 11367 2018-02-09
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649824905 Eli Felt Psychologist 6829 Main St, Flushing, NY 11367-1305 2019-07-25
1639548217 Samuel Juni Psychologist 14439 76th Rd, Flushing, NY 11367-3119 2015-09-24
1902159452 Able Psychology, P.C. Psychologist 43-18 Robinson, St, Ste1a, Flushing, NY 11355 2012-10-22
1841549128 Benjamin Zvi Grysman Psychologist 14108 Jewel Ave, Flushing, NY 11367-1618 2012-09-03
1689922478 Marie T Ribarich Psychologist 15755 26th Ave, Flushing, NY 11354-1519 2012-08-27
1568771442 Vr-1 Psychological Solutions, Pllc Psychologist 15038 Union Tpke Apt 1b, Flushing, NY 11367-3901 2010-09-27
1346566676 Tamara Perlman Psychologist 13523a Jewel Ave, Flushing, NY 11367-1919 2010-04-12
1669613519 Shifra Klahr Psychologist 14448 70th Rd, Flushing, NY 11367-1727 2009-03-23
1770602369 Steven Barlow Psychologist 7336 188th St, Flushing, NY 11366-1728 2007-03-28
1598824757 Duqiong Xiao Psychologist 15061 58th Ave, Flushing, NY 11355-5413 2006-12-06
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Competitor

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City FLUSHING
Zip Code 11367

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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