Salvatore, Liberato

Salvatore, Liberato is an sole proprietor health care provider with primary practice located at 36-35 Bell Blvd. Suite 100, Bayside NY 11361. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Salvatore, Liberato can be contacted via phone (718) 224-2199.

Contact Information

Primary practice address
36-35 Bell Blvd. Suite 100 Bayside NY 11361
Fax: (718) 224-3060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 176514 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 176514 New York

Profile Details

NPI number 1164457495
LBN Legal business name Salvatore, Liberato
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Dec 1st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164457495 NPPES
New York MEDICAID 01355100

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