| Organization Name: | LIBERTY ADVANCED MEDICAL, P.C. |
| NPI Number: | 1184747701 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAJPAUL SINGH (PRESIDENT) |
| Mailing Address: | 13313 103rd Ave South Richmond Hill |
| State: | NY US |
| Postal Code: | 114192305 |
| Phone Number: | 7188439827 |
| Fax Number: | 7188436205 |
| NPI Enumeration Date: | 04/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251N0400X |
| License Number: | 212722 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Neurology |
| Taxonomy Definition: | |