Individual
JEAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 HOLLAND AVENUE, ALBANY, NY 12229-0001
(351) 736-8271
Mailing address
5011 COTTAGE LN, MARCY, NY 13403-3036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
234589
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234589
—
NY
Enumeration date
09/18/2007
Last updated
09/18/2007
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