Organization
NEW YORK STATE HOSPITAL (OMH)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAIZHU PEARL LIU (PSYCHIATRIST)
(718) 360-7173
Entity
Organization
Contact information
Practice address
618 ELBE AVENUE, STATEN ISLAND, NY 10304
(718) 360-7173
Mailing address
618 ELBE AVE, STATEN ISLAND, NY 10304-3413
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
240899
NY
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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