LIBERTY RESOURCES INC. NPI 1225254881

NPI Information

NPI: 1225254881
Provider Name: LIBERTY RESOURCES INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1045 JAMES ST
SYRACUSE, NY
ZIP 13203
Phone: (315) 425-1004
Get Directions

LIBERTY RESOURCES INC. is a mental health (including community mental health center) clinic center in Syracuse, NY. LIBERTY RESOURCES INC. NPI is 1225254881. The provider is registered as an organization entity type.

The provider's business location address is:

1045 JAMES ST
SYRACUSE, NY
ZIP 13203-730
Phone: (315) 425-1004
Fax: (315) 422-4855

The provider's authorized official is Carl M Coyle .
The authorized official title is Chief Executive Officer and has the following contact phone number (315) 425-1004.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 1/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management		01227274	NEW YORK	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	7241005A	NEW YORK	Yes
3	320800000X	Community Based Residential Treatment Facility, Mental Illness		01304847	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J100000206	MEDICARE PIN	NEW YORK
2	02994810	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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