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Contact Information

DUSTIN LIEBLING, MD
301 E MAIN ST
BAY SHORE, NY11706-8408
 Phone: 631-637-0830
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for DUSTIN LIEBLING · (Male)

NPI # 1851776744
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2015
Last updated 09/01/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 298541
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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