Provider Demographics
NPI:1194031088
Name:LIEBERS, SYLVIA BONNIE (MS CGC)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:BONNIE
Last Name:LIEBERS
Suffix:
Gender:F
Credentials:MS CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9205
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-0205
Mailing Address - Country:US
Mailing Address - Phone:518-370-4363
Mailing Address - Fax:518-370-4348
Practice Address - Street 1:1070 LAMPLIGHTER RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1162
Practice Address - Country:US
Practice Address - Phone:888-260-6543
Practice Address - Fax:888-204-5975
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS