Individual
JENNIFER LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 NORTHERN BLVD STE 115, GREENVALE, NY 11548-1220
(516) 325-7310
Mailing address
2200 NORTHERN BLVD STE 115, GREENVALE, NY 11548-1220
(516) 325-7310
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
01/29/2021
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