National Provider Identifier
Liberty Health Supply, Inc
Liberty Health Supply, Inc is listed in the NPPES registry with a primary specialty of Durable Medical Equipment & Medical Supplies in Rochester, NY and a listed phone number of (585) 235-1370.
Profile Overview
- NPI
- 1902855729
- Provider Type
- Organization
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 09, 2006
- Last Updated
- October 07, 2019
Practice Location
- 1099 Jay St
- Suite E
- Rochester, NY 14611-1153
Phone: (585) 235-1370
Specialties
- Durable Medical Equipment & Medical Supplies (332B00000X)
- Nursing Facility Supplies (DME) (332BN1400X)
- Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X)
- Prosthetic/Orthotic Supplier (335E00000X)
Full Record
- NPI
- 1902855729
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Liberty Health Supply, Inc
- Mailing Street Address
- 1099 Jay St
- Mailing Address Line 2
- Suite E
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-1153
- Mailing Country
- US
- Mailing Phone
- (585) 235-1370
- Mailing Fax
- (585) 235-1385
- Practice Street Address
- 1099 Jay St
- Practice Address Line 2
- Suite E
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1153
- Practice Country
- US
- Practice Phone
- (585) 235-1370
- Practice Fax
- (585) 235-1385
- Enumeration Date
- May 09, 2006
- Last Updated
- October 07, 2019
- Authorized Official Last Name
- Kozak
- Authorized Official First Name
- Lisa
- Authorized Official Title
- Office Manager
- Authorized Official Phone
- (585) 235-1370
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Durable Medical Equipment & Medical Supplies (332B00000X), Nursing Facility Supplies (DME) (332BN1400X), Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), Prosthetic/Orthotic Supplier (335E00000X)
- Other Identifiers
- 1302050 (RI), LHE109146 (NY, Excellus Provider #), 8201631 (NY, Evercare), 02068413 (NY), 103644 (NY, Preferred Care Provider #), P0170059CM (NY, Blue Choice Provider #)