Organization
LIBERTY FOOTCARE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUI DEMELO DPM (PARTNER)
(718) 322-7209
Entity
Organization
Contact information
Practice address
12506 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2234
(718) 322-7209
(718) 322-7210
Mailing address
12506 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2234
(718) 322-7209
(718) 322-7210
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005746
NY
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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