Provider Demographics
NPI:1609960525
Name:LIEBMAN, ARNOLD I (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:I
Last Name:LIEBMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 EAST 71ST STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234
Mailing Address - Country:US
Mailing Address - Phone:917-364-8756
Mailing Address - Fax:
Practice Address - Street 1:2409 38TH AVE
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-3512
Practice Address - Country:US
Practice Address - Phone:212-691-4100
Practice Address - Fax:212-414-4434
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03783811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice