Organization
LIBERTY MEDICINE&REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALAH M MOHAMED TP (DIRECTOR)
(718) 323-1921
Entity
Organization
Contact information
Practice address
11501 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1901
(718) 323-1921
Mailing address
11501 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1901
(718) 323-1921
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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