Organization
LIBERTY CARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA DUBOV (MEDICAL ADMINISTRATOR)
(718) 332-4111
Entity
Organization
Contact information
Practice address
174 BRIGHTON 11TH ST, 1ST FLOOR, BROOKLYN, NY 11235-5327
(718) 332-4111
(718) 332-4112
Mailing address
2132 E 27TH ST, 2ND FLOOR, BROOKLYN, NY 11229-5012
(718) 332-4111
(718) 332-4112
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
233503
NY
Other
Enumeration date
05/30/2008
Last updated
09/10/2012
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