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LIBERTY MEDICAL GROUP, LLP

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Company Details

Name: LIBERTY MEDICAL GROUP, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 08 Jan 2007 (18 years ago)
Entity Number: 3458771
ZIP code: 12734
County: Blank
Place of Formation: New York
Address: 111 SULLIVAN AVENUE, FERNDALE, NY, United States, 12734

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 111 SULLIVAN AVENUE, FERNDALE, NY, United States, 12734

National Provider Identifier

NPI Number:
1760666093

Authorized Person:

Name:
DR. DAVID BRIAN SCHWALB
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
8452928460

Filings

Filing Number Date Filed Type Effective Date
070326000359 2007-03-26 CERTIFICATE OF PUBLICATION 2007-03-26
070108000376 2007-01-08 NOTICE OF REGISTRATION 2007-01-08

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State