Individual
JENNIFER HONGXIA LIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6115 WOODSIDE AVE, WOODSIDE, NY 11377-3542
(917) 723-5319
Mailing address
6115 WOODSIDE AVE, WOODSIDE, NY 11377-3542
(917) 723-5319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
498320
NY
171100000X
Acupuncturist
Primary
003077
NY
Other
Enumeration date
07/04/2006
Last updated
03/07/2017
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