Healthcare Provider Details

I. General information

NPI: 1912636275
Provider Name (Legal Business Name): LIBERTAS MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

963 ROUTE 146 STE 1
CLIFTON PARK NY
12065-3636
US

IV. Provider business mailing address

963 ROUTE 146 STE 1
CLIFTON PARK NY
12065-3636
US

V. Phone/Fax

Practice location:
  • Phone: 518-672-3050
  • Fax: 518-240-4310
Mailing address:
  • Phone: 518-672-3050
  • Fax: 518-240-4310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON HARRISON STEINDLER
Title or Position: OWNER
Credential: DO
Phone: 518-672-3050