Liberty Health Supply, INC
Durable Medical Equipment & Medical Supplies in Rochester, NY. Organization (NPI-2).
NPI number1902855729
StatusActive
Last updated in NPPESOct 7, 2019
Details
- NPI
- 1902855729
- Entity type
- Organization (NPI-2)
- Legal business name
- Liberty Health Supply, INC
- Organization subpart
- No
- Enumeration date
- May 9, 2006
- Last updated
- Oct 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 332BN1400X | Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | – | – | |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – | |
| 335E00000X | Prosthetic/Orthotic Supplier | – | – |
Practice location
1099 Jay StSuite E
Rochester, NY 14611-1153
Phone 585-235-1370 · Fax 585-235-1385
Mailing address
1099 Jay StSuite E
Rochester, NY 14611-1153
Phone 585-235-1370 · Fax 585-235-1385
Authorized official
Lisa Kozak
Office Manager
5852351370
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