NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY (NPI# 1376902734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376902734 |
| Entity Type | Organization |
| Organization Name | NYSARC INC MONTGOMERY COUNTY CHAPTER LIBERTY |
| Other Organization Name | LIBERTY ENTERPRISES |
| Practice Address |
47 Liberty Dr Amsterdam NY 12010 |
| Mailing Address |
43 Liberty Dr Amsterdam NY 12010-5635 |
| Practice Telephone | 5189542027 |
| Practice Fax Number | 5189542009 |
| Mailing Telephone | 5189543346 |
| Mailing Fax Number | 5189543308 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | MS. JENNIFER SAUNDERS (CEO) |
| Authorized Official Telephone | 5189543223 |
| Is Organization Subpart | Y |
| Parent Organization Name | NYSARC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01750518 | 05 | |
| NY | 02171800 | 05 | |
| NY | 02247652 | 05 | |
| NY | 02416264 | 05 | |
| NY | 02621043 | 05 | |
| NY | 02617792 | 05 | |
| NY | 02714189 | 05 | |
| NY | 00644606 | 05 | |
| NY | 01385217 | 05 | |
| NY | 02599411 | 05 | |
| NY | 02924252 | 05 | |
| NY | 01494471 | 05 | |
| NY | 02061801 | 05 | |
| NY | 02245476 | 05 | |
| NY | 02700049 | 05 | |
| NY | 02002115 | 05 | |
| NY | 02247698 | 05 | |
| NY | 03588281 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Enterprises | Doing Business As Name - Organization |
| Street Address |
47 LIBERTY DR |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
| 1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
| 1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
| 1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
| 1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
| 1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
| 1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
| 1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
| 1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
| 1033365952 | Ume Farwa | Obstetrics & Gynecology | 4104 State Highwway 30, Perth, NY 12010 | 2008-08-12 |
| Find all providers in zip 12010 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982674917 | New Dimensions In Living Inc | Clinic/Center | 40 Wall St, New Dimensions In Health Care, Amsterdam, NY 12010 | 2006-01-24 |
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| Find all providers with the same taxonomy | ||||
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| 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.