Organization
LIBERTY MILLENNIUM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SHVARTSBERG (PRESIDENT)
(716) 579-0069
Entity
Organization
Contact information
Practice address
5635 HARRIS HILL RD, WILLIAMSVILLE, NY 14221-2897
(716) 579-0069
Mailing address
5635 HARRIS HILL RD, WILLIAMSVILLE, NY 14221-2897
(716) 579-0069
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05438904
—
NY
Enumeration date
02/06/2020
Last updated
02/06/2020
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