# LIBERTY PARK CHIROPRACTIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154718666
- **Authorized official:** JOSEPH A CICCONE DC (PRES./OWNER)
- **Authorized official phone:** (718) 764-6669

## Contact information

- **Practice address:** 9316 LIBERTY AVE, OZONE PARK, NY 11417-1528
- **Practice address phone:** (718) 764-6669
- **Practice address fax:** (718) 835-5505
- **Mailing address:** 9316 LIBERTY AVE, OZONE PARK, NY 11417-1528
- **Mailing address phone:** (718) 764-6669
- **Mailing address fax:** (718) 835-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | C09423-2 | NY | Yes |

## Other

- **Enumeration date:** 04/22/2015
- **Last updated:** 04/22/2015