LISA A LIBERATORE MD NPI 1871562934

NPI Information

NPI: 1871562934
Provider Name: LISA A LIBERATORE, MD
Classification: Otolaryngology - 207YX0905X
Entity Type: Individual

Specialization: Otolaryngology/Facial Plastic Surgery

PECOS Registration: Yes

Address:
154 EAST 85 STREET
NEW YORK, NY
ZIP 10028
Phone: (212) 288-2222
Get Directions

Lisa A Liberatore, MD is an otolaryngology/facial plastic surgery otolaryngology in New York, NY. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Lisa A Liberatore, MD NPI is 1871562934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

154 EAST 85 STREET
NEW YORK, NY
ZIP 10028
Phone: (212) 288-2222
Fax: (212) 288-8082

The NPI 1871562934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 9/4/2012.

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	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	189838	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	02G112	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	G19135	MEDICARE UPIN

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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