Individual
FAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W. 168TH ST, DEPARTMENT OF RADIATION ONCOLOGY, NEW YORK, NY 10032
(917) 723-0998
Mailing address
76 CROSS RIDGE RD, CHAPPAQUA, NY 10514-2104
(917) 723-0998
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
000458
NY
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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