Liberty Medical Group, LLP

NPI #1760666093 in Ferndale, New York

Provider Information

NPI Number: 1760666093
Entity Type: Organization
Organization Name: Liberty Medical Group, LLP
Primary Specialty: General Practice
Enumeration Date: Dec 21, 2007
Last Updated: Jan 23, 2008

Practice Location

Address: 111 SULLIVAN AVE
City: Ferndale
State: New York
ZIP Code: 12734-4315
Phone: (845) 292-6630

Authorized Official

Name: DR. DAVID BRIAN SCHWALB, M. D.
Title: PARTNER
Phone: (845) 292-6630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
General Practice	208D00000X	Primary

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