Individual
LIBO QIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
(718) 267-4245
Mailing address
62 SCHOOLHOUSE LN, ROSLYN HEIGHTS, NY 11577-2820
(917) 592-1268
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
233818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02756072
—
NY
Enumeration date
07/20/2006
Last updated
03/17/2023
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