HomeNPI Verification

NPI Verification

National Provider Identifier: 1386957546

125 Liberty Medical PLLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

12507 LIBERTY AVE

SOUTH RICHMOND HILL, NY 114192233

Phone: 718-845-8900

NPI Enumeration Date

July 16, 2010

NPI Number

1386957546

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry