Provider Demographics
NPI:1457576670
Name:ARNOLD M. LIEBERMAN, DDS & VASILIOS D. MESIMERIS, DMD PC
Entity Type:Organization
Organization Name:ARNOLD M. LIEBERMAN, DDS & VASILIOS D. MESIMERIS, DMD PC
Other - Org Name:LIEBERMAN & MESIMERIS PC
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:631-587-5870
Mailing Address - Street 1:678 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-1319
Mailing Address - Country:US
Mailing Address - Phone:631-587-5870
Mailing Address - Fax:631-587-7947
Practice Address - Street 1:678 DEER PARK AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-1319
Practice Address - Country:US
Practice Address - Phone:631-587-5870
Practice Address - Fax:631-587-7947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-14
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty