Miriam Lieberman, MD
Dermatologist (Mohs/procedural) in New York, NY
Registered providerLicense # listed (NY)Medicare-enrolled
Public-record details
- Address
- 150 W 55th St, New York, NY 10019
- Phone
- (212) 991-6490
- Listed under
- Individual clinicians, Mohs and procedural dermatology
- NPI
- 1861889552
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology, Procedural Dermatology (207NS0135X)
- Credentials listed
- MD
- License number on NPI record
- 285743-1 (NY)
- NPI first issued
- Apr 20, 2015
- Years since NPI first issued
- 11 years (since 2015)
- License state on NPI record
- NY
- NPI record last updated
- Sep 11, 2023
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- May accept Medicare assignment (case by case)
- Professional school graduation (CMS)
- 2015 (11 years ago)
- Professional school (CMS)
- State University of New York Downstate Medical Center
- Medicare group practice (CMS)
- Nss Dermatology PLLC (5 clinicians)
- Practice locations on file with Medicare (CMS)
- 1
- Other dermatology listings at this street address
- 3
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What these registry facts mean
Practices and clinicians at this address
- Tatyana Groysman, DO
- Samantha Busgith, FNP
- Nss Dermatology PLLC (practice/organization)