MEDICARE: JIANGCONG LIANG OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1053027748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIANGCONG LIANG OTR/L

Provider Business Mailing Address
First Line	:	260 GOLD ST APT 504
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-2294
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 SMITH ST FL 5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5111
Country	:	US
Telephone Number	:	718-488-0001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2023
Last Update Date	:	01/05/2024

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Directions to “ JIANGCONG LIANG OTR/L” Practice Location

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