| Liberty Enterprises | |
|
47 Liberty Dr Amsterdam NY 12010 | |
| (518) 954-2027 | |
| (518) 954-2009 |
| Full Name | Liberty Enterprises |
|---|---|
| Speciality | Clinic/Center |
| Location | 47 Liberty Dr, Amsterdam, New York |
| Authorized Official Name and Position | Jennifer Saunders (CEO) |
| Authorized Official Contact | 5189543223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Enterprises 43 Liberty Dr Amsterdam NY 12010-5635 Ph: (518) 954-3346 | Liberty Enterprises 47 Liberty Dr Amsterdam NY 12010 Ph: (518) 954-2027 |
| NPI Number | 1376902734 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 06/07/2016 |
| Medicare PECOS PAC ID | 1557651411 |
|---|---|
| Medicare Enrollment ID | O20160606000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376902734 | NPI | - | NPPES |
| 00644606 | Medicaid | NY | |
| 02621043 | Medicaid | NY | |
| 02247652 | Medicaid | NY | |
| 02700049 | Medicaid | NY | |
| 03588281 | Medicaid | NY | |
| 01494471 | Medicaid | NY | |
| 02171800 | Medicaid | NY | |
| 02247698 | Medicaid | NY | |
| 02416264 | Medicaid | NY | |
| 02245476 | Medicaid | NY | |
| 02714189 | Medicaid | NY | |
| 02599411 | Medicaid | NY | |
| 02061801 | Medicaid | NY | |
| 02617792 | Medicaid | NY | |
| 01385217 | Medicaid | NY | |
| 01750518 | Medicaid | NY | |
| 02002115 | Medicaid | NY | |
| 02924252 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Traci L Sarabia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013970961 PECOS PAC ID: 1052385366 Enrollment ID: I20040823001183 |
| Provider Name | Brandi R Prall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972855807 PECOS PAC ID: 5890945836 Enrollment ID: I20121027000009 |
| Provider Name | Katherine M Walsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891948360 PECOS PAC ID: 7113152398 Enrollment ID: I20131023001923 |
| Provider Name | Linda A Stump |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134375041 PECOS PAC ID: 4385879410 Enrollment ID: I20131028000535 |
| Provider Name | Sabina R Way |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912263047 PECOS PAC ID: 9931335205 Enrollment ID: I20131114000681 |
| Provider Name | Laurel L Skultety |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427204403 PECOS PAC ID: 4688801657 Enrollment ID: I20131219000159 |
| Provider Name | Patricia Reksc |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477632115 PECOS PAC ID: 9830481209 Enrollment ID: I20160705000921 |
| Provider Name | Deborah Lynn Krill |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629442140 PECOS PAC ID: 8527350859 Enrollment ID: I20160707001102 |
| Provider Name | Pamela Theresa Wadsworth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780050880 PECOS PAC ID: 4183916216 Enrollment ID: I20160712000203 |
| Provider Name | Meagan Elizabeth Riccardi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467521559 PECOS PAC ID: 6406140391 Enrollment ID: I20160816001948 |
| Provider Name | Jennifer Ferluge |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033298708 PECOS PAC ID: 7810285566 Enrollment ID: I20161012000559 |
| Provider Name | Laura Seredensky |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417103805 PECOS PAC ID: 5991064123 Enrollment ID: I20180117000336 |
| Provider Name | Jamila S Basharat |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154652899 PECOS PAC ID: 9931468634 Enrollment ID: I20180125000248 |
| Provider Name | Tobie A Dorn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790745727 PECOS PAC ID: 6406118538 Enrollment ID: I20180329000804 |
| Provider Name | Louise D Snider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194971168 PECOS PAC ID: 0840555348 Enrollment ID: I20180605000501 |
| Provider Name | Lori Centineo-schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689177628 PECOS PAC ID: 4981959244 Enrollment ID: I20180611001256 |
| Provider Name | Amanda E Bobel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427701382 PECOS PAC ID: 8426423500 Enrollment ID: I20230403000516 |
Endocrinology Amsterdam Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5010 State Highway 30, Amsterdam, NY 12010 Phone: 518-273-3755 | |
Jeremiah Benoit Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5010 State Highway 30, Suite 201, Amsterdam, NY 12010 Phone: 518-842-7161 Fax: 518-842-0797 | |
Hometown Health Centers At Amsterdam Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 67 Division St Ste 2, Amsterdam, NY 12010 Phone: 518-627-2110 Fax: 518-627-2112 | |
St. Mary's Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4988 State Hwy 30, 2nd Floor, Amsterdam, NY 12010 Phone: 518-841-3770 Fax: 518-841-3775 | |
Carondelet Regional Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Holland Circle Dr, Amsterdam, NY 12010 Phone: 518-843-4522 Fax: 518-843-8306 | |
Amsterdam Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4988 State Highway 30, Amsterdam, NY 12010 Phone: 518-842-3100 Fax: 518-841-3678 |