Healthcare Provider Details

I. General information

NPI: 1801815626
Provider Name (Legal Business Name): LUCY LIU ACU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 11/29/2021
Certification Date: 11/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 BROADWAY STE 2720
NEW YORK NY
10007-3086
US

IV. Provider business mailing address

225 BROADWAY STE 2720
NEW YORK NY
10007-3086
US

V. Phone/Fax

Practice location:
  • Phone: 212-226-2425
  • Fax: 212-240-9944
Mailing address:
  • Phone: 212-226-2425
  • Fax: 212-240-9944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number000221
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: