Physician Compare National (NPI:1750926986)

HEALTHCARE PROVIDER: MEGAN LIU

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1750926986
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002242070
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200211001445
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIU
	Individual professional last name
Provider First Name	MEGAN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4 EISENHOWER DR
	Group Practice or individual's line 1 address
City	EAST QUOGUE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	119424730
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y