Provider Demographics
NPI:1912636275
Name:LIBERTAS MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:LIBERTAS MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:H
Authorized Official - Last Name:STEINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:518-817-0631
Mailing Address - Street 1:7 SOUTHSIDE DR STE 206
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3894
Mailing Address - Country:US
Mailing Address - Phone:518-672-3050
Mailing Address - Fax:
Practice Address - Street 1:7 SOUTHSIDE DR STE 206
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3894
Practice Address - Country:US
Practice Address - Phone:518-709-0005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty