Liberty Medical Pratice P.c | |
11501 Liberty Ave South Richmond Hill NY 11419-1901 | |
(718) 323-1921 | |
(718) 323-1922 |
Full Name | Liberty Medical Pratice P.c |
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Speciality | Clinic/center - Multi-specialty |
Location | 11501 Liberty Ave, South Richmond Hill, New York |
Authorized Official Name and Position | Salah M. Mohamed (DIRECTOR) |
Authorized Official Contact | 71832321921 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Liberty Medical Pratice P.c 115-01 Liberty Ave Richmond Hill NY 11419 Ph: (718) 323-1921 | Liberty Medical Pratice P.c 11501 Liberty Ave South Richmond Hill NY 11419-1901 Ph: (718) 323-1921 |
NPI Number | 1811064926 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811064926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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