Provider Demographics
NPI:1427174481
Name:LIU, JILIANG (TCMD)
Entity type:Individual
Prefix:DR
First Name:JILIANG
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:TCMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 W MILL DR
Mailing Address - Street 2:3-12C
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4048
Mailing Address - Country:US
Mailing Address - Phone:516-482-3511
Mailing Address - Fax:516-482-3511
Practice Address - Street 1:141 E 55TH ST
Practice Address - Street 2:SUITE 6G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4030
Practice Address - Country:US
Practice Address - Phone:212-486-3620
Practice Address - Fax:212-486-3620
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001173171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist