Individual
KENNETH C LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 2ND AVE, SUITE 1000, 10TH FLOOR, NEW YORK, NY 10010-5615
(973) 219-8658
Mailing address
PO BOX 515, ROSELAND, NJ 07068-0515
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06723000
NJ
207L00000X
Anesthesiology Physician
260274
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA06723000
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
260274
NY
Other
Enumeration date
07/01/2005
Last updated
12/28/2011
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