LIBERTY FOOTCARE PLLC NPI 1952449332

NPI Information

NPI: 1952449332
Provider Name: LIBERTY FOOTCARE, PLLC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
12506 LIBERTY AVE
SOUTH RICHMOND HILL, NY
ZIP 11419
Phone: (718) 322-7209
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LIBERTY FOOTCARE, PLLC is a foot surgery podiatrist in South Richmond Hill, NY. LIBERTY FOOTCARE, PLLC NPI is 1952449332. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12506 LIBERTY AVE
SOUTH RICHMOND HILL, NY
ZIP 11419-234
Phone: (718) 322-7209
Fax: (718) 322-7210

The provider's authorized official is Michael Katz .
The authorized official title is Partner and has the following contact phone number (718) 322-7209.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 6/9/2009.

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	213ES0131X	Podiatrist	Foot Surgery	NOO5798	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	U85162	MEDICARE UPIN	NEW YORK
2	6200400001	MEDICARE NSC	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: 4/28/2024

NPI Synchronization or Removal

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