Organization
QLIU PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QING LIU (OWNER)
(929) 336-6266
Entity
Organization
Contact information
Practice address
13636 39TH AVE STE 3, FLUSHING, NY 11354-5576
(929) 336-6266
Mailing address
415 MAIN ST APT 9H, NEW YORK, NY 10044-0357
(929) 336-6266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04854793
—
NY
Enumeration date
07/29/2020
Last updated
12/07/2020
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