| NPI | 1902333974 |
|---|---|
| Doing Business As | LIBERTY WELLNESS SERVICES |
| Entity Type | Organization |
| Authorized Contact | DANNY LIPTON Owner 917-855-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL ME77956) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-11-06 |