Individual
MISS AMY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC, RN
Contact information
Practice address
70 BAY 20TH ST APT 2C, BROOKLYN, NY 11214-3870
(646) 239-9500
Mailing address
70 BAY 20TH ST APT 2C, BROOKLYN, NY 11214-3870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22696034
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403205-01
NY
Other
Enumeration date
03/07/2015
Last updated
09/27/2020
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