Healthcare Provider Details

I. General information

NPI: 1316917867
Provider Name (Legal Business Name): HOWARD H. LIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 12/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 LOCKWOOD AVENUE
YONKERS NY
10701
US

IV. Provider business mailing address

157 LOCKWOOD AVENUE
YONKERS NY
10701
US

V. Phone/Fax

Practice location:
  • Phone: 914-476-5496
  • Fax: 914-476-5498
Mailing address:
  • Phone: 914-476-5496
  • Fax: 914-476-5498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number204203
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: