Organization
LIBERTY URGENT CARE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN POLONSKY (BILLING MANAGER)
(718) 480-6700
Entity
Organization
Contact information
Practice address
12507 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2233
(917) 941-0172
Mailing address
12507 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2233
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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