NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY NPI 1376902734

NPI Information

NPI: 1376902734
Provider Name: NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY

Doing Business As: LIBERTY ENTERPRISES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
47 LIBERTY DR
AMSTERDAM, NY
ZIP 12010
Phone: (518) 954-2027
Get Directions

NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY is a multi-specialty clinic center in Amsterdam, NY. NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY NPI is 1376902734. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Enterprises.

The provider's business location address is:

47 LIBERTY DR
AMSTERDAM, NY
ZIP 12010
Phone: (518) 954-2027
Fax: (518) 954-2009

The provider's authorized official is Jennifer Saunders .
The authorized official title is Ceo and has the following contact phone number (518) 954-3223.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 6/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	03588281	MEDICAID	NEW YORK
2	02247652	MEDICAID	NEW YORK
3	02700049	MEDICAID	NEW YORK
4	02061801	MEDICAID	NEW YORK
5	02621043	MEDICAID	NEW YORK
6	02247698	MEDICAID	NEW YORK
7	02416264	MEDICAID	NEW YORK
8	02599411	MEDICAID	NEW YORK
9	02714189	MEDICAID	NEW YORK
10	01750518	MEDICAID	NEW YORK
11	02002115	MEDICAID	NEW YORK
12	02171800	MEDICAID	NEW YORK
13	02245476	MEDICAID	NEW YORK
14	01494471	MEDICAID	NEW YORK
15	01385217	MEDICAID	NEW YORK
16	02617792	MEDICAID	NEW YORK
17	02924252	MEDICAID	NEW YORK
18	00644606	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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