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NPI Code Detail

MEDICARE: PEI YU PEGGY LIAO LCSW

MEDICARE:   PEI YU PEGGY  LIAO  LCSW
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
1174400000XSpecialist095956-1NY
21041C0700XClinical Social Worker129677CA
31041C0700XClinical Social Worker095956NY
4104100000XSocial Worker095956NY

General Provider Information

NPI Number : 1750751574
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEI YU PEGGY LIAO LCSW
Provider Business Mailing Address
First Line : 3220 MILLER ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-2739
Country : US
Telephone Number : 718-838-8856
Fax Number :
Provider Business Practice Location Address
First Line : 2230 W CHAPMAN AVE STE 212
Second Line :
City : ORANGE
State : CA
Zip : 92868-2316
Country : US
Telephone Number : 714-712-0711
Fax Number : 657-224-4781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2015
Last Update Date : 03/27/2026

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Directions to “ PEI YU PEGGY LIAO LCSW” Practice Location

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