| 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 |