Healthcare Provider Details

I. General information

NPI: 1114345873
Provider Name (Legal Business Name): JANE ZHENGYU LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 PARK AVE
PLATTSBURGH NY
12901-2557
US

IV. Provider business mailing address

1276 FULTON AVE
BRONX NY
10456-3402
US

V. Phone/Fax

Practice location:
  • Phone: 518-561-2000
  • Fax:
Mailing address:
  • Phone: 718-992-7669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2019011179
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number304931
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: