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Individual

DAN AI LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10 E 102ND ST, NEW YORK, NY 10029-6030
(212) 241-6756
Mailing address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(212) 241-6756

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
308407
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
308407
NY

Other

Enumeration date
12/26/2017
Last updated
10/15/2021
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