# GASTON MIKE LIU LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114769940
- **Authorized official:** GASTON LIU MD (PROVIDER)
- **Authorized official phone:** (631) 836-6651

## Contact information

- **Practice address:** 366 VETERANS MEMORIAL HWY STE 9, COMMACK, NY 11725-4351
- **Practice address phone:** (631) 836-6651
- **Practice address fax:** (631) 883-6636
- **Mailing address:** 57 SOUTHERN BLVD STE 1, NESCONSET, NY 11767-1091
- **Mailing address phone:** (631) 634-5448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2024
- **Last updated:** 04/24/2025
