| Liberty Resources, Inc | |
|
1065 James St Syracuse NY 13203-2744 | |
| (315) 425-1004 | |
| Not Available |
| Full Name | Liberty Resources, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1065 James St, Syracuse, New York |
| Authorized Official Name and Position | Kim Sullivan-dec (VICE PRESIDENT) |
| Authorized Official Contact | 3154251004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Resources, Inc 1065 James St Syracuse NY 13203-2744 Ph: (315) 425-1004 | Liberty Resources, Inc 1065 James St Syracuse NY 13203-2744 Ph: (315) 425-1004 |
| NPI Number | 1962655605 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962655605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 261QM0801X (New York) | Primary |
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