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Individual

DR. MARK LIANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
506 6TH STREET, NY METHODIST HOSPITAL, BROOKLYN, NY 11215
(718) 780-3279
Mailing address
2 CATHARINE STREET, P.O. BOX 550, PARK SLOPE ANESTHESIA ASSOCIATES, PC, POUGHKEEPSIE, NY 12602
(866) 868-8416
(845) 790-2675

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
251757-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03139764
NY
01
A400015476
MEDICARE PTAN
NY
Enumeration date
06/07/2009
Last updated
10/27/2009
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