Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 309402 | NY |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | D89070 | MD |
NPI | 1285029116 |
---|---|
Provider Name | Mingyang Liu Gray |
First Address | New York, NY 10003-4284 |
Second Address | Baltimore, MD 21287-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2015 |
Last Update Date | 11/08/2021 |