Basic Information
| Provider Information | |||||||||
| NPI: | 1275613739 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIEMAN | ||||||||
| FirstName: | HARRY | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 141 S CENTRAL AVE | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | HARTSDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105302319 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149971060 | ||||||||
| FaxNumber: | 9149971099 | ||||||||
| Practice Location | |||||||||
| Address1: | MMC - I.R.M.H | ||||||||
| Address2: | 141 SOUTH CENTRAL AVENUE | ||||||||
| City: | HARTSDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149971060 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2006 | ||||||||
| LastUpdateDate: | 10/25/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VE0102X | 189318 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Reproductive Endocrinology |
No ID Information.