Avital Liberzon, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

005023-01 Issued in NY

Practice address

181 Mercer St
New York, NY 10012-1501

Phone

(212) 998-2073

NPI assigned

Nov 3, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1346013042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 RIVERSIDE STATION BLVD",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070944454",
            "telephone_number": "617-694-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MERCER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121501",
            "telephone_number": "212-998-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERZON",
        "first_name": "AVITAL",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "005023-01",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "ATL22160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Harbor Medical Services, P.C.
• Liberty Home Care Services LLC
• Liberty Podiatry PC
• Liberty Spine and Pain LLC
• Liberty Wellness & Chiro PC
• Richard B Libes, PHD, MD
• Jeffrey David Libin, MD
• Michael Libonati
• Adam Daniel Libow, M.D.
• Leslie Libow, MD

• Athletic Trainer in New York, NY
• Providers in New York, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.