Individual
DR. LIEM P TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
183RD AND THIRD AVE, BRONX, NY 10457
(718) 960-9000
Mailing address
12 LEGENDS BLVD, WEST NYACK, NY 10994-2447
(917) 400-0029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A10001
CA
Other
Enumeration date
05/11/2007
Last updated
11/01/2021
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