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Liberty Health Supply, Inc
Prosthetic/Orthotic Supplier in Rochester, New York
NPI 1902855729

Liberty Health Supply, Inc is a Prosthetic/Orthotic Supplier based in Rochester, NY. Liberty Health Supply, Inc practices in Rochester, NY. The NPI Number for Liberty Health Supply, Inc is 1902855729 and holds a License No. (New York).

The current practice location address for Liberty Health Supply, Inc is 1099 Jay St, Rochester, NY and can be reached out via phone at 585-235-1370 and via fax at 585-235-1385.

Location: 1099 Jay St, Rochester, NY, 14611-1153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902855729
Provider Name
Liberty Health Supply, Inc
Credential
Provider Entity Type
Organization
Address
1099 Jay St, Rochester, NY, 14611-1153
Phone Number
585-235-1370
Fax Number
585-235-1385
Provider Enumeration Date
05/09/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1302050 05 RI
LHE109146 01 NY EXCELLUS PROVIDER #
8201631 01 NY EVERCARE
02068413 05 NY
103644 01 NY PREFERRED CARE PROVIDER #
P0170059CM 01 NY BLUE CHOICE PROVIDER #
institution
Provider Business Practice Location Address Details
Address
1099 Jay St
City
Rochester
State
New York
Zip
14611-1153
Phone Number
585-235-1370
Fax Number
585-235-1385
person
Provider Business Mailing Address Details
Address
1099 Jay St
City
Rochester
State
New York
Zip
14611-1153
Phone Number
585-235-1370
Fax Number
585-235-1385
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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