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General NPI Number Information
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NPI Number | 1467485300
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Entity Type | Organization
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Legal Business Name | WELLINGTON Y. LIU, M.D,, P.C.
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 150 RIVERSIDE DR
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City | NEW YORK
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State | NY
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Zip | 10024-2298
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Country | US
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Telephone | 646-505-3805
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Fax |
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Provider Business Mailing Address
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Address Line | 415 E 37TH ST APT 36F
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City | NEW YORK
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State | NY
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Zip | 10016-3261
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Country | US
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Telephone | 646-505-3805
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WELLINGTON Y. LIU
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Credential | M.D.
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Telephone | 646-505-3805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 127427
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License Number State | NY
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