MEDICARE: MIN LIU

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	171100000X	Acupuncturist	003730	NY

General Provider Information

NPI Number	:	1568173094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIN LIU

Provider Business Mailing Address
First Line	:	24411 73RD AVE
Second Line	:
City	:	LITTLE NECK
State	:	NY
Zip	:	11362-2321
Country	:	US
Telephone Number	:	917-213-2533
Fax Number	:

Provider Business Practice Location Address
First Line	:	24411 73RD AVE
Second Line	:
City	:	LITTLE NECK
State	:	NY
Zip	:	11362-2321
Country	:	US
Telephone Number	:	917-213-2533
Fax Number	:

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

Provider Enumeration Date	:	12/06/2022
Last Update Date	:	12/06/2022

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Directions to “ MIN LIU ” Practice Location

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