Healthcare Provider Details

I. General information

NPI: 1326976416
Provider Name (Legal Business Name): YAN XIANG LIANG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YAN XIANG HSU RN

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 PRESIDENTIAL PLZ
SYRACUSE NY
13202-2240
US

IV. Provider business mailing address

4215 REGULUS CRSE
LIVERPOOL NY
13090-1947
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-3836
  • Fax: 315-464-3836
Mailing address:
  • Phone: 646-591-0211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number625947
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: