Healthcare Provider Details

I. General information

NPI: 1578193579
Provider Name (Legal Business Name): CHIU-YING LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2020
Last Update Date: 01/19/2020
Certification Date: 01/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3741 77TH ST
JACKSON HEIGHTS NY
11372-6629
US

IV. Provider business mailing address

202 BERKELEY DR
SYRACUSE NY
13210-3040
US

V. Phone/Fax

Practice location:
  • Phone: 718-406-9588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number006551-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: