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125 LIBERTY MEDICAL PLLC NPI 1386957546


NPI Information

NPI: 1386957546
Provider Name: 125 LIBERTY MEDICAL PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
12507 LIBERTY AVE
SOUTH RICHMOND HILL, NY
ZIP 11419
Phone: (718) 845-8900
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125 LIBERTY MEDICAL PLLC is a family medicine in South Richmond Hill, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. 125 LIBERTY MEDICAL PLLC NPI is 1386957546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12507 LIBERTY AVE
SOUTH RICHMOND HILL, NY
ZIP 11419-233
Phone: (718) 845-8900
Fax: (718) 845-0148

The provider's authorized official is Muntaz Majeed .
The authorized official title is Director and has the following contact phone number (718) 843-9100.

The enumeration date for this NPI number is 7/16/2010 and was last updated on 7/19/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine214856-1NEW YORKYes

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: 11/14/2023

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