Liu, Lisen

Liu, Lisen is an sole proprietor health care provider with primary practice located at 13625 Maple Ave Suite 201,Wisdom Medical Pc, Flushing NY 11355-3870. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Liu, Lisen can be contacted via phone (718) 939-2669.

Contact Information

Primary practice address
13625 Maple Ave Suite 201,Wisdom Medical Pc Flushing NY 11355-3870
Phone: (718) 939-2669
Fax: (718) 939-2663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 239854 New York

Profile Details

NPI number 1265445894
LBN Legal business name Liu, Lisen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Dec 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265445894 NPPES
New York Other 20-8142542 TAX IDENTIFICATION
New York MEDICAID 02819487 TAX IDENTIFICATION

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