MEDICARE: DR. ZE LIAO PT, DPT

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	225100000X	Physical Therapist	046601-01	NY

General Provider Information

NPI Number	:	1902471154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZE LIAO PT, DPT

Provider Business Mailing Address
First Line	:	1520 W 10TH ST APT 4A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-6345
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	339 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-1443
Country	:	US
Telephone Number	:	347-274-8591
Fax Number	:

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

Provider Enumeration Date	:	05/20/2021
Last Update Date	:	02/05/2024

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