Organization
DEFIANCE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIAO WEI LIU MD (FOUNDER)
(646) 750-0069
Entity
Organization
Contact information
Practice address
6278 FOREST AVE FL 2, RIDGEWOOD, NY 11385-2010
(929) 314-0119
Mailing address
6278 FOREST AVE FL 2, RIDGEWOOD, NY 11385-2010
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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