# 125 LIBERTY MEDICAL PLLC

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

## Provider details

- **NPI number:** 1386957546
- **Authorized official:** DR. MUNTAZ MAJEED MD (DIRECTOR)
- **Authorized official phone:** (718) 843-9100

## Contact information

- **Practice address:** 12507 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2233
- **Practice address phone:** (718) 845-8900
- **Practice address fax:** (718) 845-0148
- **Mailing address:** 12507 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2233
- **Mailing address phone:** (718) 845-8900
- **Mailing address fax:** (718) 845-0148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 214856-1 | NY | Yes |

## Other

- **Enumeration date:** 07/16/2010
- **Last updated:** 07/19/2010