Individual
FONG LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 997-4359
Mailing address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 997-4359
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
225002
NY
Other
Enumeration date
08/05/2006
Last updated
12/19/2011
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