Individual
DR. MATTHEW PETER LIAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
Mailing address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(516) 547-6252
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
282839
NY
207RI0011X
Interventional Cardiology Physician
TP802
KY
Other
Enumeration date
08/08/2011
Last updated
10/06/2020
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