Provider Demographics
NPI:1578899126
Name:LIBERTY COMMUNICATIONS INC
Entity Type:Organization
Organization Name:LIBERTY COMMUNICATIONS INC
Other - Org Name:LIBERTY MEDICAR INC,LIBERTY CAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:YUHNKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-877-7111
Mailing Address - Street 1:1524 KENMORE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-1135
Mailing Address - Country:US
Mailing Address - Phone:716-877-7111
Mailing Address - Fax:716-874-1178
Practice Address - Street 1:1524 KENMORE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-1135
Practice Address - Country:US
Practice Address - Phone:716-877-7111
Practice Address - Fax:716-874-1178
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIBERTY COMMUNICATIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344600000X344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYMT 1847Medicaid