Healthcare Provider Details

I. General information

NPI: 1952096281
Provider Name (Legal Business Name): ZI QIAN LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 9TH ST
NIAGARA FALLS NY
14305-1929
US

IV. Provider business mailing address

144 GENESEE ST FL 3
BUFFALO NY
14203-1560
US

V. Phone/Fax

Practice location:
  • Phone: 716-284-8917
  • Fax:
Mailing address:
  • Phone: 716-601-3600
  • Fax: 716-601-3620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number341959
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: