MEDICARE: LIBERATE THE BLOCK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QR1100X	Research Clinic/Center
2	261QS1000X	Student Health Clinic/Center
3	251K00000X	Public Health or Welfare Agency
4	261QM0850X	Adult Mental Health Clinic/Center
5	251S00000X	Community/Behavioral Health Agency
6	261QM1300X	Multi-Specialty Clinic/Center
7	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1508573502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIBERATE THE BLOCK

Provider Business Mailing Address
First Line	:	1329 MILTON ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1234
Country	:	US
Telephone Number	:	412-437-8687
Fax Number	:

Provider Business Practice Location Address
First Line	:	1329 MILTON ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1234
Country	:	US
Telephone Number	:	412-437-8687
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OF OPERATIONS
Name	:	DR. LEI WANG
Credential	:	PH.D.
Telephone Number	:	412-437-8687

Provider Enumeration Date	:	10/31/2022
Last Update Date	:	10/31/2022

Similar Medicare Providers

1124347950 — KELLY LEWIS DDS
Practice Location Address:

1325 MILTON ST
PITTSBURGH, PA
15218-1234

Practice Phone: 703-819-5276
Practice Fax:

1316654379 — DR. LEI WANG PH.D.
Practice Location Address:

1329 MILTON ST
PITTSBURGH, PA
15218-1234

Practice Phone: 412-437-8687
Practice Fax:

1851123657 — NELSON ZOUNLOME PHD
Practice Location Address:

1329 MILTON ST
PITTSBURGH, PA
15218-1234

Practice Phone: 412-584-5469
Practice Fax:

1346621802 — RITE AID OF PENNSYLVANIA LLC
Practice Location Address:

100 FORBES AVENUE , SUITE 100
PITTSBURGH, PA
15233-1234

Practice Phone: 717-761-2633
Practice Fax:

1871041889 — ANDIE ESTELLE MACE
Practice Location Address:

343 NEWBURN DR , UPMC PASSAVANT HOSPITAL
PITTSBURGH, PA
15216-1234

Practice Phone: 412-760-3421
Practice Fax:

1740283845 — METRO FAMILY PRACTICE, INC.
Practice Location Address:

1789 S BRADDOCK AVE , SUITE 410
PITTSBURGH, PA
15218-1842

Practice Phone: 412-247-2310
Practice Fax: 412-247-4060

Directions to “LIBERATE THE BLOCK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.