| Entity Name | THEODORE W. LIEBERMAN, M.D., P.C. | 
| Entity Number | 405135 | 
| Status | ACTIVE | 
| Incorporation Date | 15th July 1976 | 
| Dos Process Address | 1370 AVE OF THE AMERICAS, NEW YORK, 10019, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NEW YORK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |