SearchNew York208100000X

Ivan Liu

NPI 1386281913 · on the registry since 2019 · sole proprietor

Practice

Address
1 Mirrielees Rd
Great Neck, NY 11021
Phone
(516) 582-0722

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York