MEDICARE: MR. YUCHAO LIANG L.AC.

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	171100000X	Acupuncturist	001849	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12184234	OTHER	NY	CAQH
2	NY1849	OTHER	NY	LANDMARK HEALTHCARE

General Provider Information

NPI Number	:	1679652069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. YUCHAO LIANG L.AC.

Provider Business Mailing Address
First Line	:	839 58TH ST
Second Line	:	B. FL
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3679
Country	:	US
Telephone Number	:	718-686-1736
Fax Number	:	718-686-7098

Provider Business Practice Location Address
First Line	:	839 58TH ST
Second Line	:	B. FL
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3679
Country	:	US
Telephone Number	:	718-686-1736
Fax Number	:	718-686-7098

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

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	06/21/2012

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