125 LIBERTY MEDICAL PLLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1386957546- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 12507 LIBERTY AVE, SOUTH RICHMOND HILL, NY, 114192233
- Phone
- (718) 845-8900
- Fax
- (718) 845-0148
Specialties & Taxonomies
Family Medicine
Primary License: NY #214856-1