Healthcare Provider Details

I. General information

NPI: 1356269682
Provider Name (Legal Business Name): ALDO PAUL LIBERATORE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13530 SHERWOOD CIR
GARFIELD HTS OH
44125-4939
US

IV. Provider business mailing address

5175 W 5TH ST
BROOKLYN HTS OH
44131-1126
US

V. Phone/Fax

Practice location:
  • Phone: 216-952-3645
  • Fax:
Mailing address:
  • Phone: 216-952-3645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: