Provider Demographics
NPI:1316917867
Name:LIU, HOWARD H (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:H
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 LOCKWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701
Mailing Address - Country:US
Mailing Address - Phone:914-476-5496
Mailing Address - Fax:914-476-5498
Practice Address - Street 1:157 LOCKWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-476-5496
Practice Address - Fax:914-476-5498
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204203207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01978385Medicaid
NY06549HMedicare ID - Type UnspecifiedGHI MEDICARE
NY01978385Medicaid
NY41Z231Medicare ID - Type UnspecifiedEMPIRE MEDICARE