Individual
JESSICA H LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
875 PARK AVE APT 1F, NEW YORK, NY 10075-0382
(443) 570-0175
Mailing address
14115 28TH AVE APT 6E, FLUSHING, NY 11354-1614
(443) 570-0175
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006404
NY
Other
Enumeration date
10/24/2018
Last updated
07/21/2021
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