Individual
JACK LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-4557
Mailing address
182 E 210TH ST BSMT, BRONX, NY 10467-2411
(347) 951-5421
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
315955
NY
Other
Enumeration date
03/24/2020
Last updated
05/04/2026
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