| 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 |