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NPI Code Detail

MEDICARE: LIBERTY HARBOR MEDICAL SERVICES, P.C.

MEDICARE: LIBERTY HARBOR MEDICAL SERVICES, P.C.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1538016381
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIBERTY HARBOR MEDICAL SERVICES, P.C.
Provider Business Mailing Address
First Line : 205 HUDSON ST FL 9
Second Line :
City : NEW YORK
State : NY
Zip : 10013-1810
Country : US
Telephone Number : 646-453-6777
Fax Number : 929-596-7897
Provider Business Practice Location Address
First Line : 205 HUDSON ST FL 9
Second Line :
City : NEW YORK
State : NY
Zip : 10013-1810
Country : US
Telephone Number : 646-453-6777
Fax Number : 929-596-7897
Authorized Official
Title or Position : PRESIDENT
Name : CARY CRALL
Credential : MD
Telephone Number : 646-453-6777
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “LIBERTY HARBOR MEDICAL SERVICES, P.C. ” Practice Location

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