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Organization

LIBERTY MEDICAL GROUP, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID BRIAN SCHWALB M. D. (PARTNER)
(845) 292-6630
Entity
Organization

Contact information

Practice address
111 SULLIVAN AVE, FERNDALE, NY 12734-4315
(845) 292-6630
(845) 292-8460
Mailing address
111 SULLIVAN AVE, FERNDALE, NY 12734-4315

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
12/21/2007
Last updated
01/23/2008
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