Individual
DR. DAVID T LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE, SUITE 4B, NEW YORK, NY 10016-6402
(212) 263-0705
(212) 263-0704
Mailing address
530 1ST AVE, SUITE 4B, NEW YORK, NY 10016-6402
(212) 263-0705
(212) 263-0704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
141266
NY
207RN0300X
Nephrology Physician
Primary
141266-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052005
GHI
—
05
—
00639116
—
NY
01
—
13-3980318
EMPIRE UNITED
—
01
—
141266
HIP
—
01
—
486246
AETNA PPO
—
Enumeration date
07/28/2006
Last updated
08/14/2023
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