DR. GORDON SIDNEY LIEBERGALL M.D. NPI 1689653362

NPI Information

NPI: 1689653362
Provider Name: DR. GORDON SIDNEY LIEBERGALL, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
222 ROUTE 59
SUITE 207
SUFFERN, NY
ZIP 10901
Phone: (845) 357-2500
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DR. Gordon Sidney Liebergall, M.D. is an ophthalmology in Suffern, NY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Gordon Sidney Liebergall, M.D. NPI is 1689653362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

222 ROUTE 59
SUITE 207
SUFFERN, NY
ZIP 10901-204
Phone: (845) 357-2500
Fax: (845) 368-3937

The enumeration date for this NPI number is 1/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		084611	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00127838	MEDICAID	NEW YORK
2	17789ADD1	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	084611	OTHER	NEW MEXICO	STATE MEDICAL LICENSE NUM
4	B 10486	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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