Healthcare Provider Details

I. General information

NPI: 1851659015
Provider Name (Legal Business Name): NAOMI LIAN M.D. PHD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ZHENG LIAN

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 PROSPECT AVE
SYRACUSE NY
13203-1807
US

IV. Provider business mailing address

133 HARBOUR CLOSE
NEW HAVEN CT
06519-2841
US

V. Phone/Fax

Practice location:
  • Phone: 315-315-4486
  • Fax:
Mailing address:
  • Phone: 540-759-6839
  • Fax: 203-457-8555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number282996
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number282996
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1.066806
License Number StateCT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: