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Organization

JENNY LIAW, M.D. PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNY LIAW M.D. (OWNER)
(718) 224-6528
Entity
Organization

Contact information

Practice address
42-23 212 STREET, SUITE 1A, BAYSIDE, NY 11361
(718) 224-6528
(718) 224-8964
Mailing address
42-23 212 STREET, SUITE 1A, BAYSIDE, NY 11361
(718) 224-6528
(718) 224-8964

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RH0000X
Hematology (Internal Medicine) Physician
207RX0202X
Medical Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01435372
NY
Enumeration date
12/09/2013
Last updated
01/21/2015
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