MEDICARE: YUCHENG LIU

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	2085R0205X	Radiological Physics Physician	000250	NY

General Provider Information

NPI Number	:	1548081706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUCHENG LIU

Provider Business Mailing Address
First Line	:	393 LINCOLN AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5045
Country	:	US
Telephone Number	:	323-696-3990
Fax Number	:

Provider Business Practice Location Address
First Line	:	393 LINCOLN AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5045
Country	:	US
Telephone Number	:	323-696-3990
Fax Number	:

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

Provider Enumeration Date	:	10/21/2024
Last Update Date	:	10/21/2024

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Directions to “ YUCHENG LIU ” Practice Location

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