MEDICARE: DEBORAH LIANG LMSW-LICENSE #119203

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
1	104100000X	Social Worker	119203-01	NY

General Provider Information

NPI Number	:	1538536511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH LIANG LMSW-LICENSE #119203

Provider Business Mailing Address
First Line	:	1702 AVENUE W
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4421
Country	:	US
Telephone Number	:	917-355-6233
Fax Number	:

Provider Business Practice Location Address
First Line	:	749 61ST ST STE 504
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5162
Country	:	US
Telephone Number	:	718-366-8828
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2015
Last Update Date	:	07/26/2024

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