Organization
MEDICINE AND REHABILITATION SERVICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAOGUANG LIU (MEDICAL DOCTOR)
(718) 530-5267
Entity
Organization
Contact information
Practice address
427 FORT WASHINGTON AVE APT 1A, NEW YORK, NY 10033-3522
(646) 669-8192
(646) 669-8192
Mailing address
730 FORT WASHINGTON AVE, APT 3N, NEW YORK, NY 10040-3738
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
233485
NY
Other
Enumeration date
06/15/2012
Last updated
05/07/2024
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