Liberty Care Medical PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

233503 Issued in NY

Legal business name

LIBERTY CARE MEDICAL PC

Practice address

174 Brighton 11TH St
1St Floor
Brooklyn, NY 11235-5327

Phone

(718) 332-4111

Fax

(718) 332-4112

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Yelena Dubov

Title

Medical Administrator

Phone

(718) 332-4111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1982862595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 E 27TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295012",
            "telephone_number": "718-332-4111",
            "fax_number": "718-332-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BRIGHTON 11TH ST",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355327",
            "telephone_number": "718-332-4111",
            "fax_number": "718-332-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "DUBOV",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "MEDICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "718-332-4111"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "233503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Libertella, D.P.M.
• Rosemary Libertella
• Liberty Audiology of New York PC
• Liberty Audiology of New York PC
• Liberty Ave Pharmacy,Inc
• Liberty Drug Inc
• Liberty Hearing Center
• Liberty Hearing Center
• Liberty Medical Device
• Liberty Medical Devices

• Medical Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.