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NPI Code Detail

MEDICARE: MATTHEW WANG LIAO

MEDICARE: MATTHEW WANG LIAO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1386591188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW WANG LIAO
Provider Business Mailing Address
First Line : 1300 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4805
Country : US
Telephone Number : 212-746-5454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ MATTHEW WANG LIAO ” Practice Location

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