Healthcare Provider Details

I. General information

NPI: 1689598559
Provider Name (Legal Business Name): CRYSTAL SIXIAN LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE GUSTAVE L. LEVY PLACE
NEW YORK NY
10029
US

IV. Provider business mailing address

ONE GUSTAVE L. LEVY PLACE
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-4299
  • Fax: 212-731-5220
Mailing address:
  • Phone: 212-241-4299
  • Fax: 212-731-5220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberP143805
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: