Healthcare Provider Details

I. General information

NPI: 1659162253
Provider Name (Legal Business Name): KAINING LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 7TH AVE STE SUITE 1604, OFFICE G
NEW YORK NY
10001-5012
US

IV. Provider business mailing address

352 7TH AVE SUITE 1604, OFFICE G
NEW YORK NY
10001-5012
US

V. Phone/Fax

Practice location:
  • Phone: 860-469-5963
  • Fax:
Mailing address:
  • Phone: 860-469-5963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: