Healthcare Provider Details

I. General information

NPI: 1831040203
Provider Name (Legal Business Name): CLARIVEX HEALTHCARE BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 NORTHERN BLVD STE 12
GREAT NECK NY
11021-4802
US

IV. Provider business mailing address

475 NORTHERN BLVD STE 12
GREAT NECK NY
11021-4802
US

V. Phone/Fax

Practice location:
  • Phone: 631-891-8741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JIAFENG LIU
Title or Position: CEO
Credential:
Phone: 631-891-8741