LIBERTY RESOURCES INC.


Address: 1045 James St, Syracuse, NY 13203-2730
Phone: 3154251004

LIBERTY RESOURCES INC. (NPI# 1225254881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225254881
Entity Type Organization
Organization Name LIBERTY RESOURCES INC.
Practice Address 1045 James St
Syracuse
NY 13203-2730
Practice Telephone 3154251004
Practice Fax Number 3154224855
Mailing Telephone 3154251004
Mailing Fax Number 3154224855
Enumeration Date 2007-04-18
Last Update Date 2017-01-16
Authorized Official Name MR. CARL M COYLE (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 3154251004
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management 01227274 NY Agencies
N 320800000X Community Based Residential Treatment Facility, Mental Illness 01304847 NY Residential Treatment Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
7241005A NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 02994810 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336686393 Liberty Resources Inc. Community/Behavioral Health 1045 James St, Syracuse, NY 13203-2730 2017-01-27

Office Location

Street Address 1045 JAMES ST
City SYRACUSE
State NY
Zip Code 13203-2730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013912153 Alida Anne Dejong Registered Nurse 1045 James St, Syracuse, NY 13203-2730 2005-06-16
1326648395 Liberty Resources Psychology, Physical, Occupational and Speech Therap Early Intervention Provider Agency 1045 James St, Syracuse, NY 13203-2730 2020-10-29
1083211619 Tracy L. Eckstrand Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-10-06
1306458070 Amy Marie Ruetsch Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-08-23
1891306742 Nichole Dawn Slate Social Worker 1045 James St, Syracuse, NY 13203-2730 2020-08-13
1245849280 Louis Shirley Peer Specialist 1045 James St, Syracuse, NY 13203-2730 2020-07-27
1083232367 Melissa Louise Potter Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-07-13
1881221885 Kirsten Melville Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-03-27
1699302380 Jennifer Breau Counselor 1045 James St, Syracuse, NY 13203-2730 2020-03-24
1679109771 Lora M Denero Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659998193 Allison Elizabeth Mills Social Worker 1045 James St., Syracuse, NY 13203 2020-07-01
1467004333 Humanitarian Organization for Multicultural Experiences, Inc. Psychologist 831 James Street, Syracuse, NY 13203 2019-07-11
1215405287 Wellness Therapy Services Lcsw, Pllc Counselor Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 2018-11-08
1962904912 Michael Musante Developmental Therapist 1045 James Streret, Syracuse, NY 13203 2018-03-06
1811410236 Lindsey Deborah Sanborn Nurse Practitioner 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 2017-07-18
1497205975 Phuong Pham Counselor 329 North Salina Street, Syracuse, NY 13203 2016-10-10
1942754015 Shelly Lynn Peters Nurse Practitioner 329 N. Salina Street, Helio Health, Syracuse, NY 13203 2016-08-06
1932574217 Kaleigh Marie Andino Audiologist 1001 James Street, Syracuse, NY 13203 2015-12-11
1376889493 Brenda S Hartman-souder Social Worker 526 Oak St., Syracuse, NY 13203 2012-12-18
1386914711 Steven W Dimarzo Counselor 404 Oak St Ste 320, Syracuse, NY 13203 2012-01-02
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1487727160 Onondaga County Comptrollers Office Clinic/Center 4641 Kasson Rd, Children and Family Services Day Treatment Program Sate, Syracuse, NY 13215-8615 2006-11-17
1558464925 Onondaga Pastoral Counseling Center Inc Clinic/Center 324 University Avenue, Syracuse, NY 13210 2006-09-07
1306007158 Liberty Resources Clinic/Center 324 University Ave, Syracuse, NY 13210-1811 2008-06-24
1477626158 Onondaga County Department of Mental Health Clinic/Center 530 Cedar St, Day Treatment Program - Soule Road School, Syracuse, NY 13210-2302 2006-11-17
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1225101942 Onondaga County Department of Mental Health Clinic/Center 530 Cedar St, Day Treatment Program - Delaware School, Syracuse, NY 13210-2302 2006-11-17

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1962015248 Melissa Gottlieb Clinic/Center 285 Livingston St Fl 1, Brooklyn, NY 11217-1006 2020-08-26
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Competitor

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City SYRACUSE
Zip Code 13203

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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