Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Liberty Physical Medicine & Rehab

Organization Physical Medicine & Rehabilitation Physician · NPI 1780999755

Liberty Physical Medicine & Rehab is a Physical Medicine & Rehabilitation Physician in Jackson Heights, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

3755 77th St Ste 1J
Jackson Heights, NY 11372-6603
Phone: (718) 651-8414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 241442 (NY)

Record details

NPI number1780999755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elyse Chang — Office Manager · (718) 651-8414
NPI enumeratedAugust 13, 2010
Last updated in NPPESAugust 13, 2010
Mailing address3755 77th St, Suite 1j, Jackson Heights, NY 11372-6603

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