MEDICARE: LIANA CHIEW NP

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	363LF0000X	Family Nurse Practitioner	342304	NY

General Provider Information

NPI Number	:	1528571171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIANA CHIEW NP

Provider Business Mailing Address
First Line	:	6707 EXETER ST
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4149
Country	:	US
Telephone Number	:	917-751-7676
Fax Number	:

Provider Business Practice Location Address
First Line	:	6707 EXETER ST
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4149
Country	:	US
Telephone Number	:	917-751-7676
Fax Number	:

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

Provider Enumeration Date	:	11/06/2017
Last Update Date	:	11/06/2017

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