Healthcare Provider Details

I. General information

NPI: 1023137346
Provider Name (Legal Business Name): HONG WEI LIU OMD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 W 36TH ST RM 12D
NEW YORK NY
10018-1745
US

IV. Provider business mailing address

378 S OYSTER BAY RD
HICKSVILLE NY
11801-3509
US

V. Phone/Fax

Practice location:
  • Phone: 212-920-4528
  • Fax:
Mailing address:
  • Phone: 212-920-4528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: