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MELISSA LIEBOLD, PA-C
PA-C
Physician Assistant
NPI: 1235725672IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
026336(NY)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 1500 ROUTE 112 STE A
PORT JEFFERSON STATION, NY 11776 - Phone
- (631) 265-4200
Quick Facts
- NPI
- 1235725672
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 5
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