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SOUTH RICHMOND HILL, NY 114192233
Organization
125 LIBERTY MEDICAL PLLC
NPI 1386957546
Active
Family Medicine
Quick Facts
NPI Number
1386957546
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2010-07-16
Last Updated (NPPES)
2010-07-19
Primary Specialty / Taxonomy
| Taxonomy | Family Medicine |
| Taxonomy Code | 207Q00000X |
| License | 214856-1 NY |
Practice Address
12507 LIBERTY AVESOUTH RICHMOND HILL, NY 114192233
Phone: 718-845-8900
Fax: 718-845-0148
Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.