Organization
LIBERTY MEDICAL OFFICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZABER AHMAD KHAN M.D. (PRESIDENT)
(646) 752-7058
Entity
Organization
Contact information
Practice address
530 CONDUIT BLVD, SUITE-C, BROOKLYN, NY 11208-3245
(718) 277-5500
(718) 277-2400
Mailing address
188 DAHILL RD, SUITE - A, BROOKLYN, NY 11218-2289
(718) 435-4600
(718) 435-4772
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
234133
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02807454
—
NY
Enumeration date
12/09/2013
Last updated
12/09/2013
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