Provider Demographics
NPI:1417252834
Name:LIANG, BI YU MICHELLE (MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:BI YU
Middle Name:MICHELLE
Last Name:LIANG
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1348 66TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-6131
Mailing Address - Country:US
Mailing Address - Phone:917-365-9322
Mailing Address - Fax:347-263-8498
Practice Address - Street 1:1348 66TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-6131
Practice Address - Country:US
Practice Address - Phone:917-365-9322
Practice Address - Fax:347-263-8498
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-15
Last Update Date:2011-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007041-1133N00000X
977970133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist