| Liberty Family Medicine Practice Pllc | |
|
460 Main St Ste 1 Oneonta NY 13820-2027 | |
| (607) 441-3300 | |
| (607) 441-3305 |
| Full Name | Liberty Family Medicine Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 460 Main St Ste 1, Oneonta, New York |
| Authorized Official Name and Position | Godwin Nwannewuihe Njoku (MD/OWNER) |
| Authorized Official Contact | 6074413300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Family Medicine Practice Pllc 460 Main St Ste 1 Oneonta NY 13820-2027 Ph: (607) 441-3300 | Liberty Family Medicine Practice Pllc 460 Main St Ste 1 Oneonta NY 13820-2027 Ph: (607) 441-3300 |
| NPI Number | 1710414867 |
|---|---|
| Provider Enumeration Date | 05/19/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4183990088 |
|---|---|
| Medicare Enrollment ID | O20171020000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710414867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Godwin N Njoku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124274386 PECOS PAC ID: 1052504206 Enrollment ID: I20101020000171 |
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