# LIBERTY CHIROPRACTIC HEALTHE & WELLNESS, P. C.

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

## Provider details

- **NPI number:** 1356464960
- **Authorized official:** DR. RAYMOND RIAD KAYUME DC (PRESIDENT)
- **Authorized official phone:** (718) 843-9827

## Contact information

- **Practice address:** 13313 103RD AVE, SOUTH RICHMOND HILL, NY 11419-2305
- **Practice address phone:** (718) 843-9827
- **Practice address fax:** (718) 843-6205
- **Mailing address:** 13313 103RD AVE, SOUTH RICHMOND HILL, NY 11419-2305
- **Mailing address phone:** (718) 843-9827
- **Mailing address fax:** (718) 843-6205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 010357 | NY | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 08/22/2020