| Liberty Medical Group, Llp | |
|
111 Sullivan Ave Ferndale NY 12734-4315 | |
| (845) 292-6630 | |
| (845) 292-8460 |
| Full Name | Liberty Medical Group, Llp |
|---|---|
| Speciality | General Practice |
| Location | 111 Sullivan Ave, Ferndale, New York |
| Authorized Official Name and Position | David Brian Schwalb (PARTNER) |
| Authorized Official Contact | 8452926630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Medical Group, Llp 111 Sullivan Ave Ferndale NY 12734-4315 Ph: () - | Liberty Medical Group, Llp 111 Sullivan Ave Ferndale NY 12734-4315 Ph: (845) 292-6630 |
| NPI Number | 1760666093 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 01/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760666093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |