Healthcare Provider Details

I. General information

NPI: 1619046653
Provider Name (Legal Business Name): FRANK MING-SHI LIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E 70TH ST 2ND FLOOR
NEW YORK NY
10021-4872
US

IV. Provider business mailing address

504-506 EAST 74TH STREET 5TH FLOOR
NEW YORK NY
10021-3486
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-1578
  • Fax: 212-746-8483
Mailing address:
  • Phone: 212-249-4061
  • Fax: 212-249-4659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number241567-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: