OrganizationActive
125 Liberty Medical PLLC
NPI 1386957546 · Family Medicine Physician · South Richmond Hill, NY
Provider details
- NPI number
- 1386957546
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Muntaz Majeed, Director
- License
- 214856-1 (NY)
Practice location
12507 Liberty Ave
South Richmond Hill, NY 11419-2233
Phone: (718) 845-8900
Fax: (718) 845-0148
Mailing address
12507 Liberty Ave
South Richmond Hill, NY 11419-2233
Registry dates
- Enumerated
- 2010-07-16
- Last updated
- 2010-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.