MEDICARE: ZOE ZHECHUN LIU M.D.

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	207R00000X	Internal Medicine Physician	221999	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386719599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOE ZHECHUN LIU M.D.

Provider Business Mailing Address
First Line	:	98 E BROADWAY
Second Line	:	4TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10002-7181
Country	:	US
Telephone Number	:	212-966-2699
Fax Number	:	212-966-1206

Provider Business Practice Location Address
First Line	:	98 E BROADWAY
Second Line	:	4TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10002-7181
Country	:	US
Telephone Number	:	212-966-2699
Fax Number	:	212-966-2699

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

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	07/16/2021

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