Dr. Maryana Liedke is a Port Jefferson Station, New York based neurologist with 11 years of experience in Neurology. She completed her graduation from Lake Erie College Of Osteopathic Medicine, Erie in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Maryana Liedke is 288433 for Neurology in New York. Her current practice location is 1010 Route 112 Ste 300, Port Jefferson Station. Patients can reach her at 631-364-9119. Dr. Maryana Liedke is DO in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1386987956. Dr. Maryana Liedke specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Dr. Maryana Liedke speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Maryana Liedke
Specialization:
Neurology
Gender:
Female
Credentials:
DO
Experience:
11+ years
Medical School Attended:
Lake Erie College Of Osteopathic Medicine, Erie
Graduation Year:
2013
Accepts Medicare Assignment:
Yes
Practice Address:
1010 Route 112 Ste 300, Port Jefferson Station, New York, 11776-3386
Phone:
631-364-9119
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3274881800
Enrollment ID:
I20180730002270
NPI Number:
1386987956
NPI Enumeration Date:
02 Apr, 2013
NPI Last Update On:
09 Dec, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Maryana Liedke are as mentioned below.
License Number
Specialization
State
Status
288433
Neurology
New York
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Maryana Liedke is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
North Suffolk Neurology Pc (8729305602)
16
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Maryana Liedke 1010 Route 112 Ste 300, Port Jefferson Station, New York
Zip:
11776-3386
Phone Number:
631-364-9119
Patients can reach Dr. Maryana Liedke at 1010 Route 112 Ste 300, Port Jefferson Station, New York or can call to book an appointment on 631-364-9119.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.