Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 254798 | NY |
N | 207PE0004X | Emergency Medical Services | P0755 | TX |
NPI | 1174787154 |
---|---|
Provider Name | Ms. Liza Leung |
First Address | Stony Brook, NY 11794-8350 |
Second Address | Stony Brook, NY 11794-8350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2008 |
Last Update Date | 06/03/2019 |