Healthcare Provider Details

I. General information

NPI: 1487759080
Provider Name (Legal Business Name): LIANG LIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 WESTCHESTER AVE
RYE BROOK NY
10573-1320
US

IV. Provider business mailing address

760 WESTCHESTER AVE
RYE BROOK NY
10573-1341
US

V. Phone/Fax

Practice location:
  • Phone: 914-698-5706
  • Fax: 914-698-6624
Mailing address:
  • Phone: 914-698-5706
  • Fax: 914-698-6624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number224008
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: