Organization
LIBERTY ADVANCED MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJPAUL SINGH M.D. (PRESIDENT)
(718) 843-9827
Entity
Organization
Contact information
Practice address
13313 103RD AVE, SOUTH RICHMOND HILL, NY 11419-2305
(718) 843-9827
(718) 843-6205
Mailing address
13313 103RD AVE, SOUTH RICHMOND HILL, NY 11419-2305
(718) 843-9827
(718) 843-6205
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
212722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127223B
WORKER'S COMPENSATION
NY
Enumeration date
04/09/2007
Last updated
08/22/2020
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