MEDICARE: FENG 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	2084P0800X	Psychiatry Physician	221854	NY
2	2084P0804X	Child & Adolescent Psychiatry Physician	221854	NY

General Provider Information

NPI Number	:	1720149750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FENG LIU M.D.

Provider Business Mailing Address
First Line	:	1225 MORRIS PARK AVE FL 1
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1949
Country	:	US
Telephone Number	:	718-839-7308
Fax Number	:	718-862-1880

Provider Business Practice Location Address
First Line	:	1225 MORRIS PARK AVE FL 1
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1949
Country	:	US
Telephone Number	:	718-839-7308
Fax Number	:	718-862-1880

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	11/06/2023

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