DR. MARVIN LIEBER


Address: 58 Sycamore Cir, Stony Brook, NY 11790-3147
Phone: 5166076071

DR. MARVIN LIEBER (NPI# 1386915544) 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) 1386915544
Entity Type Individual
Full Name DR. MARVIN LIEBER
Credential M.D.
Practice Address 58 Sycamore Cir
Stony Brook
NY 11790-3147
Mailing Address 2544 W Muirfield Dr
Anthem
AZ 85086-1183
Practice Telephone 5166076071
Mailing Telephone 6235517552
Enumeration Date 2012-01-19
Last Update Date 2012-01-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
121619 NY Allopathic & Osteopathic Physicians

Other Providers MARVIN LIEBER

NPI Name Taxonomy Address Enumeration
1225013154 Marvin Lieber Pharmacist 4411 Roswell Rd, Atlanta, GA 30242-3316 2005-12-14

Office Location

Street Address 58 SYCAMORE CIR
City STONY BROOK
State NY
Zip Code 11790-3147

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649807678 Ribu Mathew Student in an Organized Health Care Education/Training Program Health Science Center T16, Room 020, Stony Brook, NY 11790 2020-03-27
1538794821 Chaoyang Qu Student in an Organized Health Care Education/Training Program 9 Syncamore Dr, Stonybrook, NY 11790 2020-03-06
1457814824 Brain & Spine Surgery, P.C. Neurological Surgery 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 2019-04-11
1447759741 Susan Cuccia Registered Nurse 40 Sheppard Lane, Stony Brook, NY 11790 2018-02-02
1972022234 Carol M Doherty Specialist 7 Haskel Lane, Stony Brook, NY 11790 2017-09-18
1972021582 Louren M Gonzales Nurse Practitioner 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 2017-09-04
1043740954 Asma Khattak Behavior Technician 90 Quaker Path, Stony Brook, NY 11790 2017-06-13
1427452846 Christina Georgia Registered Nurse 36 Ivy League Lane, Stony Brook, NY 11790 2014-10-14
1124361654 Mandeep Kainth Student in an Organized Health Care Education/Training Program Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 2013-04-03
1922357144 Audry M Luciano Registered Nurse 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 2012-09-04
Find all providers in zip 11790

Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902438039 Joanna Catherine Cross Pediatrics 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 2020-02-06
1720498306 Ashley M Yazdani Pediatrics 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 2014-05-05
1699103879 Pediatric&adolescent Medical Care Pllc Pediatrics 450 76th St, Brooklyn, NY 11209-3204 2013-10-24
1962837377 Mariam Machabeli Pediatrics 765 Grand St, Brooklyn, NY 11211-5797 2013-09-05
1013352392 Pediatric Associates of Plainview Pediatrics 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 2013-05-01
1174876650 Theodore Fink Pediatrics 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 2012-10-20
1376804096 Melissa Ellen Dere Pediatrics 732 5th Ave, Brooklyn, NY 11232 2012-05-30
1508134578 Hicksville Pediatrics PC Pediatrics 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 2011-12-06
1245523513 Khalida Itriyeva Pediatrics 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 2011-05-19
1366735862 Richmond Hill Pediatric Associates Pediatrics 8604 117th St, Richmond Hill, NY 11418-1713 2011-05-17
Find all providers with the same taxonomy

Competitor

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City STONY BROOK
Zip Code 11790

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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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