Dondra Mary Liebman, LPN
Individual provider Active NPI Licensed Practical Nurse · Cape Vincent, NY
NPI 1023148012 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1023148012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 283861 (NY)
- Practice address
- 29148 County Route 56
Cape Vincent, NY 13618 - Phone
- (315) 654-4711
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 283861 | NY | Yes |
Addresses
Primary practice location
29148 County Route 56
Cape Vincent, NY 13618
Mailing address
29148 County Route 56
Cape Vincent, NY 13618
Phone (315) 654-4711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02749526 | Medicaid | NY |
Other providers in Cape Vincent, NY
- Mary Belleville
- Cape Vincent Ambulance Squad Inc
- Grayce Docteur
- Stacy Kay Giglio
- Donna Leah Kane
- Amanda Mason
- Jean Sharon Pfeifer
- Cheryl Suzanne Predmore
- Colin Michael Ross
- State of New York Office of State Comptroller
All providers in Cape Vincent, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.