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NPI Code Detail

MEDICARE: MR. BILLY YUANBIAO LIU PA

MEDICARE:  MR. BILLY YUANBIAO LIU  PA
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
1363AM0700XMedical Physician Assistant7167NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1007167OTHERNYLICENSE#

General Provider Information

NPI Number : 1487817334
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BILLY YUANBIAO LIU PA
Provider Business Mailing Address
First Line : 1787 W 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1504
Country : US
Telephone Number : 212-274-1705
Fax Number : 212-274-0776
Provider Business Practice Location Address
First Line : 1787 W 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1504
Country : US
Telephone Number : 212-274-1705
Fax Number : 212-274-0776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2008
Last Update Date : 03/19/2014

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Directions to “ MR. BILLY YUANBIAO LIU PA” Practice Location

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