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LIBERTY URGENT CARE, LLP
NPI 1215326137
Clinic/Center - Urgent Care in South Richmond Hill, NY

Active since January 15, 2015
12507 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419(917) 941-0172 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Urgent Care

About LIBERTY URGENT CARE, LLP

This page provides the complete NPI Profile along with additional information for Liberty Urgent Care, Llp, a provider established in South Richmond Hill, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1215326137 assigned on January 2015. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ken Polonsky (Billing Manager)

NPI
1215326137 Verify this NPI
Provider Name
LIBERTY URGENT CARE, LLP
Entity Type
Organization
Location Address
12507 LIBERTY AVE SOUTH RICHMOND HILL, NY 11419
Location Phone
(917) 941-0172
Mailing Address
12507 LIBERTY AVE SOUTH RICHMOND HILL, NY 11419
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2015
Last Update Date
01-15-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEN POLONSKY

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(718) 480-6700

Reviews for LIBERTY URGENT CARE, LLP

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

125 LIBERTY MEDICAL PLLC
Family Medicine
12507 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419
Queens County (718) 845-8900
DR PHILIP R.BALDEO MEDICAL SERVICES,PC
Family Medicine
12507 LIBERTY AVE, SOUTH RICHMOND HILL
QUEENS, NY 11419
Queens County (718) 845-8900

Frequently Asked Questions

What is LIBERTY URGENT CARE, LLP's NPI number?

The NPI number assigned to this healthcare provider is 1215326137, enumerated as an "organization" on January 15, 2015.

Where is the provider located?

The provider is located at 12507 LIBERTY AVE SOUTH RICHMOND HILL, NY 11419 and the phone number is (917) 941-0172.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.