Organization
KENNETH LIAO, M.D. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LIAO (MANAGING PARTNER)
(973) 219-8658
Entity
Organization
Contact information
Practice address
380 2ND AVE, SUITE 1000. 10TH FLOOR, NEW YORK, NY 10010-5615
(973) 219-8658
Mailing address
PO BOX 515, 160 EAGLE ROCK AVENUE, ROSELAND, NJ 07068-0515
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
260274
NY
Other
Enumeration date
06/23/2011
Last updated
02/21/2012
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