Susan Renee Kolin-Liebman, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

040156 Issued in NY

Practice address

185 Montague St
8TH Floor
Brooklyn, NY 11201-3608

Phone

(718) 622-6741

Fax

(718) 622-5125

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700959756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MONTAGUE ST",
            "address_2": "8TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013608",
            "telephone_number": "718-622-6741",
            "fax_number": "718-622-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MONTAGUE ST",
            "address_2": "8TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013608",
            "telephone_number": "718-622-6741",
            "fax_number": "718-622-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLIN-LIEBMAN",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "040156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyubomyra Kolesnyk
• Rita Kolessova
• Pericles Kolias
• Evelyn Athena Kolidas, PH.D.
• Zorina Sarah Kolik
• Robert Kolins
• Nikki Koll
• Srinivas Kolla, MD
• Evan Judah Kollander, DDS
• George Kollaros

• Orthodontics and Dentofacial Orthopedics Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.