Individual
GUANGDONG LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
79 01 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Mailing address
79 01 BROADWAY, ROOM A1-16, ELMHURST, NY 11373-1329
(718) 334-2490
(718) 334-5845
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
241439
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02805503
—
NY
Enumeration date
10/02/2006
Last updated
11/02/2007
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