Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 289485 | NY |
NPI | 1023451234 |
---|---|
Provider Name | Huijuan Liao |
First Address | Whitestone, NY 11357-3011 |
Second Address | Whitestone, NY 11357-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 28/05/2019 |