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Organization
LIFECARE MEDICAL OFFICE, PC
Active
Organization
LIFECARE MEDICAL OFFICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOLANTA J LIBURA MD, PHD (OWNER)
(646) 382-7742
Entity
Organization
Contact information
Practice address
6514 BEACH FRONT RD, ARVERNE, NY 11692-1293
(646) 382-7742
(646) 417-5002
Mailing address
6514 BEACH FRONT RD, ARVERNE, NY 11692-1293
(646) 382-7742
(646) 417-5002
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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