Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 233541 | NY |
NPI | 1376544510 |
---|---|
Provider Name | Liren Kuang |
First Address | Brooklyn, NY 11220-4312 |
Second Address | Brooklyn, NY 11220-4312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 03/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02621612 | (05) | NY |
I21093 | (02) | NY |