Individual
MENGMIN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
566 60TH ST, BROOKLYN, NY 11220
(407) 212-0639
Mailing address
566 60TH ST, BROOKLYN, NY 11220-4016
(407) 212-0639
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
382959
NY
363LP2300X
Primary Care Nurse Practitioner
9429635
FL
Other
Enumeration date
06/01/2018
Last updated
05/05/2019
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