Provider Demographics
NPI:1881890119
Name:LIEBERMAN, SETH MITCHELL (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:MITCHELL
Last Name:LIEBERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:325 WILLOW AVE
Mailing Address - Street 2:APT 4A
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3875
Mailing Address - Country:US
Mailing Address - Phone:908-812-0737
Mailing Address - Fax:212-263-8257
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:NBV 5E 5, DEPT OF OTOLARYNGOLOGY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-6344
Practice Address - Fax:212-263-8257
Is Sole Proprietor?:No
Enumeration Date:2007-06-24
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY259801207Y00000X
390200000X
FLME111781207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program