He has lectured widely in the United States and abroad on glaucoma diagnosis and management. Dr. Jeffrey A. Lieberman quote tweeted another account that attempted to celebrate South Sudanese model Nyakim Gatwech, saying, "whether a work of art or freak of nature, she's a beautiful. Dr. Liebmann serves as Program Chair for the American Glaucoma Society and Secretary-Treasurer of the New York Glaucoma Society, is a member of the Board of Governors of the World Glaucoma Association and Board of Directors of The Glaucoma Foundation, and is past-President of the New York Society for Clinical Ophthalmology and co-founder of the New York Glaucoma Research Institute.
Dr. Jefrey Lieberman, MD, Internal Medicine | Decatur, GA | WebMD therapeutics, Smart URL;TYPE=work:https://www.rochesterregional.orghttps://www.rochesterregional.org:443/physician-directory/l/liberman-jeffrey
doctor, Find How a New Drug, DAR-0100A, Affects Memory, How You Think, And How You Make Decisions.
Roubaix, Hauts-de-France, France - Lat long 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
Find the residency program, fellowship, or training program that's right for you, or explore our research and clinic trials. degeneration, Women's health, View He is also down to earth and completely responsive to any questions. 880 3rd Ave, New York, NY 10022 United States, https://www.vagelos.columbia.edu/departments-centers/ophthalmology.
Dr. Jefrey Dale Lieberman, MD - Decatur, GA - Rheumatology - Request This provider is part of an independent practice, please call this provider's office to get an updated list of current insurance plans they participate with. According to his Columbia University bio, Lieberman is also the director of the New York State Psychiatric Institute and Psychiatrist-in-Chief for the Columbia University Medical Center of New York Presbyterian Hospital. He received his medical degree from Rutgers Robert Wood Johnson Medical School and has been in practice for more than 20 years .
Jeffrey M. Liebmann, MD at ColumbiaDoctors - Third Avenue I used to bring my daughter to Dr Liebmann many years ago. Please contact the doctor's office to verify that your insurance is accepted. Get Directions. His current main areas of research interest include the causes of glaucoma, glaucoma progression, glaucoma surgery, ocular imaging, and neuroprotection. center, Health Addressing anti-racism and anti-blackness across sectors is vital because of the policy determinations being made and the direct impact on peoples lives.