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NPI Code Detail

MEDICARE: MS. AMANDA YOUHAO LIANG

MEDICARE: MS. AMANDA YOUHAO LIANG
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
1183500000XPharmacist59512NY

General Provider Information

NPI Number : 1730597188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA YOUHAO LIANG
Provider Business Mailing Address
First Line : 352 GREENWICH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-2332
Country : US
Telephone Number : 646-610-1025
Fax Number :
Provider Business Practice Location Address
First Line : 352 GREENWICH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-2332
Country : US
Telephone Number : 646-610-1025
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2014
Last Update Date : 05/08/2017

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