Individual
JENNIFER LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL # 1228, MOUNT SINAI HOSPITAL, NEW YORK, NY 10029-6574
(212) 241-6798
(212) 241-9311
Mailing address
39 SPRING VALLEY RD, MONTVALE, NJ 07645-1702
(646) 285-3150
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA077594
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
218829
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094668
—
NJ
Enumeration date
10/24/2006
Last updated
04/20/2012
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