Organization
NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY
Active
Parent organization
NYSARC INC
Other names
Liberty Enterprises
Organization subpart
Yes
Provider details
NPI number
Legal business name
NYSARC INC
Authorized official
MS. JENNIFER SAUNDERS (CEO)
(518) 954-3223
Entity
Organization
Contact information
Practice address
47 LIBERTY DR, AMSTERDAM, NY 12010
(518) 954-2027
(518) 954-2009
Mailing address
43 LIBERTY DR, AMSTERDAM, NY 12010-5635
(518) 954-3346
(518) 954-3308
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00644606
—
NY
05
—
01385217
—
NY
05
—
01494471
—
NY
05
—
01750518
—
NY
05
—
02002115
—
NY
05
—
02061801
—
NY
05
—
02171800
—
NY
05
—
02245476
—
NY
05
—
02247652
—
NY
05
—
02247698
—
NY
05
—
02416264
—
NY
05
—
02599411
—
NY
05
—
02617792
—
NY
05
—
02621043
—
NY
05
—
02700049
—
NY
05
—
02714189
—
NY
05
—
02924252
—
NY
05
—
03588281
—
NY
Enumeration date
02/15/2016
Last updated
06/07/2016
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