Liberty Medical Device
Durable Medical Equipment & Medical Supplies in Brooklyn, NY. Organization (NPI-2).
NPI number1154378628
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1154378628
- Entity type
- Organization (NPI-2)
- Legal business name
- Liberty Medical Device
- Organization subpart
- No
- Enumeration date
- May 28, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- None (Doing Business As)
Practice location
902 Drew St341
Brooklyn, NY 11208-5153
Phone 347-273-3973 · Fax 718-348-1594
Mailing address
902 Drew St341
Brooklyn, NY 11208-5153
Phone 347-273-3973 · Fax 718-348-1594
Authorized official
Abimbola Abiodun Makinde
Executive Director
3472733973
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