DR. VLADIMIR LIBERMAN (NPI# 1780944876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780944876 |
| Entity Type | Individual |
| Full Name | DR. VLADIMIR LIBERMAN |
| Credential | D.O |
| Practice Address |
259 1st St Mineola NY 11501-3957 |
| Mailing Address |
242 Merrick Road S 304 Rockville Centre NY 11570-5254 |
| Practice Telephone | 5166630333 |
| Mailing Telephone | 5167647070 |
| Mailing Fax Number | 5167647073 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2016-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
274837 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
259 1ST ST |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892641 | Frederick James | Nurse Anesthetist, Certified Registered | 259 1st St, Mineola, NY 11501-3957 | 2005-06-27 |
| 1164039855 | James Jacob | Nurse Anesthetist, Certified Registered | 259 1st St, Mineola, NY 11501-3957 | 2020-09-26 |
| 1649887530 | Michael D'alto | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2020-09-25 |
| 1174136121 | Anatoliy Mirkin | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-08-28 |
| 1497368823 | Sajumon K Joseph | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-08-25 |
| 1730707134 | Nathan Augustus Starkman | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-07-12 |
| 1164040143 | Melissa Dale Kersch | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-07-07 |
| 1518582964 | Jennifer Behbodikhah | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-06-11 |
| 1912521386 | Samuel Baskharoun | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-06-02 |
| 1346863404 | James Anthony Priftakis | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578724787 | John Manning Carson | Internal Medicine | 200 Old Country Rd Ste 135, Mineola, NY 11501-4237 | 2008-06-19 |
| 1255339834 | Madhu Korrapati | Internal Medicine | 300 Old Country Rd, Suite 111, Mineola, NY 11501-4198 | 2005-07-08 |
| 1477922326 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Internal Medicine | 200 Old Country Rd, Suite 135, Mineola, NY 11501-4235 | 2015-09-22 |
| 1770988909 | Queens Nassau Nephrology Services Pllc | Internal Medicine | 300 Old Country Road, 111, Mineola, NY 11501-4112 | 2014-10-30 |
| 1225304496 | Aleksey Etinger | Internal Medicine | 259 1st St, Mineola, NY 11501-3957 | 2012-03-31 |
| 1992934467 | Queens Nassau Nephrology Services Pllc | Internal Medicine | 300 Old Country Road, 111, Mineola, NY 11501-4112 | 2009-07-06 |
| 1962687517 | Winthrop Nephrology Associates, PC | Internal Medicine | 200 Old Country Rd, Suite 135, Mineola, NY 11501-4235 | 2008-01-02 |
| 1538230628 | Joseph Mattana | Internal Medicine | 200 Old Country Rd, Suite 135, Mineola, NY 11501-4235 | 2006-11-13 |
| 1801831763 | Eduard Bover | Internal Medicine | 300 Old Country Rd, Suite 111, Mineola, NY 11501-4198 | 2006-06-17 |
| 1578516563 | Queens Nassau Nephrology Services, P.C. | Internal Medicine | 300 Old Country Rd, Suite 111, Mineola, NY 11501-4112 | 2006-05-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.