Individual
BIBO LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 2ND AVE, NEW YORK, NY 10003-2704
(347) 366-2364
Mailing address
9228 54TH AVE, ELMHURST, ELMHURST, NY 11373-4627
(347) 366-2364
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
944438151
NY
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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