Healthcare Provider Details

I. General information

NPI: 1316943517
Provider Name (Legal Business Name): MICHAEL LIANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 03/26/2023
Certification Date: 03/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14112 COOLIDGE AVE
BRIARWOOD NY
11435-1121
US

IV. Provider business mailing address

14112 COOLIDGE AVE
BRIARWOOD NY
11435-1121
US

V. Phone/Fax

Practice location:
  • Phone: 718-526-8797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number234570
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: