Healthcare Provider Details

I. General information

NPI: 1568981835
Provider Name (Legal Business Name): WEIYI LIU DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUNE LIU DPT

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W 54TH ST APT 1C
NEW YORK NY
10019-5512
US

IV. Provider business mailing address

205 W 54TH ST APT 1C
NEW YORK NY
10019-5512
US

V. Phone/Fax

Practice location:
  • Phone: 646-725-7874
  • Fax:
Mailing address:
  • Phone: 646-725-7874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number042150
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007270
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: