LIBERTY RESOURCES INC. NPI 1821485483

NPI Information

NPI: 1821485483
Provider Name: LIBERTY RESOURCES, INC.
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 1045 JAMES ST
SYRACUSE, NY
ZIP 13203
Phone: (315) 425-1004

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NPI Details

LIBERTY RESOURCES, INC. is a primary care clinic center in Syracuse, NY. LIBERTY RESOURCES, INC. NPI is 1821485483. The provider is registered as an organization entity type.

The provider's business location address is:

1045 JAMES ST
SYRACUSE, NY
ZIP 13203-758
Phone: (315) 425-1004
Fax: (315) 422-4855

The provider's authorized official is Kelli Harris .
The authorized official title is Chief Executive Officer and has the following contact phone number (315) 425-1004.

The enumeration date for this NPI number is 4/22/2015 and was last updated on 1/9/2026.

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	261QP2300X	Clinic/Center	Primary Care	3301227R	NEW YORK	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	Other Provider Identifier Issuer
1	04286357	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: 11/21/2025

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