Provider Demographics
NPI:1891082632
Name:GILIBERTO, LUCA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LUCA
Middle Name:
Last Name:GILIBERTO
Suffix:
Gender:M
Credentials:MD, PHD
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Other - Credentials:
Mailing Address - Street 1:300 COMMUNITY DR
Mailing Address - Street 2:NORTH SHORE-LIJ-CUSHING NEUROSCIENCE INSTITUTE-9 TOWER
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3816
Mailing Address - Country:US
Mailing Address - Phone:516-562-3029
Mailing Address - Fax:516-562-3631
Practice Address - Street 1:611 NORTHERN BLVD
Practice Address - Street 2:STE 150, NORTH SHORE-LIJ-CUSHING NEUROSCIENCE INSTITUTE
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5207
Practice Address - Country:US
Practice Address - Phone:516-325-7000
Practice Address - Fax:516-325-7001
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2020-03-12
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Provider Licenses
StateLicense IDTaxonomies
NY2764602084N0400X, 2084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology