Organization
NURSE PRACTITIONER IN ADULT HEALTH WELLNESS SERVICES, PLLC
Active
Other names
Renew Health Medical Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY LIAO NP (NURSE PRACTITIONER)
(347) 368-0002
Entity
Organization
Contact information
Practice address
13620 38TH AVE STE 5A, FLUSHING, NY 11354-4264
(917) 385-0812
Mailing address
13620 38TH AVE STE 5A, FLUSHING, NY 11354-4264
(347) 368-0002
(718) 750-2947
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
09/04/2025
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