Organization
LIBERTY MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR GOLDEN (PRESIDENT)
(212) 464-8838
Entity
Organization
Contact information
Practice address
2313 MERMAID AVE, BROOKLYN, NY 11224-2589
(718) 513-3838
Mailing address
2313 MERMAID AVE, BROOKLYN, NY 11224-2589
(718) 513-3838
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
04/03/2010
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