# LIBERTY URGENT CARE, LLP

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

## Provider details

- **NPI number:** 1215326137
- **Authorized official:** KEN POLONSKY (BILLING MANAGER)
- **Authorized official phone:** (718) 480-6700

## Contact information

- **Practice address:** 12507 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2233
- **Practice address phone:** (917) 941-0172
- **Mailing address:** 12507 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2015
- **Last updated:** 01/15/2015