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NPI Code Detail

MEDICARE: WELLINGTON Y. LIU, M.D,, P.C.

MEDICARE: WELLINGTON Y. LIU, M.D,, 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
1207RC0000XCardiovascular Disease Physician127427NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467485300
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLINGTON Y. LIU, M.D,, P.C.
Provider Business Mailing Address
First Line : 415 E 37TH ST APT 36F
Second Line :
City : NEW YORK
State : NY
Zip : 10016-3261
Country : US
Telephone Number : 646-505-3805
Fax Number :
Provider Business Practice Location Address
First Line : 150 RIVERSIDE DR
Second Line :
City : NEW YORK
State : NY
Zip : 10024-2298
Country : US
Telephone Number : 646-505-3805
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. WELLINGTON Y. LIU
Credential : M.D.
Telephone Number : 646-505-3805
Provider Enumeration Date : 07/07/2006
Last Update Date : 08/22/2020

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