# LIBERTY CARE MEDICAL PC

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

## Provider details

- **NPI number:** 1982862595
- **Authorized official:** YELENA DUBOV (MEDICAL ADMINISTRATOR)
- **Authorized official phone:** (718) 332-4111

## Contact information

- **Practice address:** 174 BRIGHTON 11TH ST, 1ST FLOOR, BROOKLYN, NY 11235-5327
- **Practice address phone:** (718) 332-4111
- **Practice address fax:** (718) 332-4112
- **Mailing address:** 2132 E 27TH ST, 2ND FLOOR, BROOKLYN, NY 11229-5012
- **Mailing address phone:** (718) 332-4111
- **Mailing address fax:** (718) 332-4112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 233503 | NY | Yes |

## Other

- **Enumeration date:** 05/30/2008
- **Last updated:** 09/10/2012