MR. DAVID BRUCE LIEBERMAN (NPI# 1902373384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902373384 |
| Entity Type | Individual |
| Full Name | MR. DAVID BRUCE LIEBERMAN |
| Credential | BA, MS, CAS |
| Practice Address |
2 Country Club Rd Queensbury NY 12804-1702 |
| Mailing Address |
44 Fox Hollow Ln Queensbury NY 12804-1142 |
| Practice Telephone | 5189262050 |
| Mailing Telephone | 5187451120 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00314998 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740552280 | David M. Lieberman | Internal Medicine | 28 Nantucket Ln, Saint Louis, MO 63132-4137 | 2012-01-30 |
| 1750565891 | David Marcus Lieberman | Otolaryngology | 105 Addison Ave, Palo Alto, CA 94301-2401 | 2007-12-26 |
| 1588706907 | David M Lieberman | Specialist | 9 Prospect Park W, Suite 1-b, Brooklyn, NY 11215-1758 | 2007-02-13 |
| 1235591991 | David Lieberman | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2016-03-22 |
| 1710299193 | David Manuel Lieberman | Dentist | 656 N Wellwood Ave, Lindenhurst, NY 11757-1695 | 2010-07-13 |
| 1104010115 | David Lieberman | Genetic Counselor, MS | 3020 Market St, Suite 220, Philadelphia, PA 19104-2999 | 2007-09-03 |
| 1134295736 | David Lieberman | Dentist | 3661 Highland Road, Waterford, MI 48328 | 2006-11-27 |
| 1790713063 | David Lieberman | Internal Medicine | Portland Va Medical Center, 1034 Sw Veterans Hospital Road, Portland, OR 97239 | 2006-06-28 |
| 1457397770 | David Nathan Lieberman | Psychiatry & Neurology | 300 Longwood Avenue, Department of Neurology, Fegan 11, Boston, MA 02115 | 2006-06-22 |
| 1922046747 | David E Lieberman | Emergency Medicine | 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 | 2006-06-03 |
| Street Address |
2 COUNTRY CLUB RD |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460762 | Phyllis Broege | Psychologist | 2 Country Club Rd, Queensbury, NY 12804-1702 | 2005-10-12 |
| 1386251288 | Sarah Broughton | Audiologist | 2 Country Club Rd, Queensbury, NY 12804-1702 | 2020-09-25 |
| 1306452677 | Kaitlyn Ann Hansen | Physical Therapist | 2 Country Club Rd, Queensbury, NY 12804-1702 | 2020-09-21 |
| 1215561303 | Andrea Nicole Fauler | Occupational Therapist | 2 Country Club Rd, Queensbury, NY 12804-1702 | 2020-02-27 |
| 1316428360 | Ashley Elizabeth Bucci | Audiologist | 2 Country Club Rd, Queensbury, NY 12804-1702 | 2018-08-28 |
| 1487146445 | Rachel Deluca | Audiologist | 2 Country Club Rd, Queensbury, NY 12804 | 2018-06-05 |
| 1760996359 | Liesl Hall | Occupational Therapist | 2 Country Club Rd, Queensbury, NY 12804-1702 | 2017-11-20 |
| 1215452396 | Sandra Chamoun | Occupational Therapist | 2 Country Club Rd, Queensbury, NY 12804-1702 | 2017-08-09 |
| 1619421930 | Catherine Houshower | Physical Therapist | 2 Country Club Rd, Queensbury, NY 12804-1702 | 2016-08-04 |
| 1053773457 | Brittany Strain | Occupational Therapist | 2 Country Club Rd, Queensbury, NY 12804-1702 | 2016-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902255433 | Bethany L Moon | Psychologist | 11 Thistlewood Dr, Queensbury, NY 12804-9352 | 2016-06-06 |
| 1790394997 | Kathleen G Price | Psychologist | 413 Bay Rd, Queensbury, NY 12804-1408 | 2020-07-24 |
| 1770830010 | Patricia Howard | Psychologist | 133 Aviation Rd, Queensbury, NY 12804-8206 | 2012-08-06 |
| 1023100617 | Debra Jean Pietrangelo | Psychologist | 123 Dixon Rd, Queensbury, NY 12804-2133 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860612 | Zoe Spiegel | Psychologist | 20 Harding Dr, New Rochelle, NY 10801-4610 | 2020-10-28 |
| 1053910059 | Erin Elizabeth Gurdineer | Psychologist | 131 South Third St, Northville, NY 12134-0608 | 2020-10-21 |
| 1114534310 | Alana May Sandberg | Psychologist | 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 | 2020-09-30 |
| 1437766177 | Danielle Brudner | Psychologist | 18 Cygnet Rd, Congers, NY 10920-1790 | 2020-09-27 |
| 1023624145 | Karleen Marie Gabriel | Psychologist | 35 Steven Pl, Smithtown, NY 11787-5419 | 2020-09-23 |
| 1730795832 | Erin A Hyle | Psychologist | 9 Maywood Ave, Rye Brook, NY 10573-2401 | 2020-09-23 |
| 1083220826 | Tina Ruggiero | Psychologist | 61 Fox Ct, Manorville, NY 11949-2613 | 2020-09-17 |
| 1952917650 | Margaret Jane Willard | Psychologist | 167 15th St Apt 2l, Brooklyn, NY 11215-4849 | 2020-09-17 |
| 1902410137 | Dana Levine | Psychologist | 7 Chester Dr, Great Neck, NY 11021-4904 | 2020-09-04 |
| 1871107946 | Michele D Jefferson | Psychologist | 66 Main St Apt 525, Yonkers, NY 10701-8853 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on MR. DAVID BRUCE LIEBERMAN.
| 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.