Individual ProviderMichael LibenInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address506 6th St, Brooklyn, NY 11215-3609(718) 780-3000PECOS EnrollmentBased on the most recent information from CMS, provider Michael Liben is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295311074Provider TypeIndividualFull NameLiben, MichaelGenderMaleSole ProprietorNoEnumeration Date3/22/2021Last Updated8/2/2024Contact InformationPractice LocationPractice Address506 6th St, Brooklyn, NY 11215-3609Phone(718) 780-3000FaxUnlisted FaxMailing LocationMailing Address506 6th St, Brooklyn, NY 11215-3609Phone(718) 780-3000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense331105New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer