NPI | 1639606601 |
---|---|
Doing Business As | LIBERTY WELLNESS SERVICES |
Entity Type | Organization |
Authorized Contact | DANNY LIPTON Owner 917-855-8336 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 40971) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2017-11-06 |