Provider Demographics
NPI:1851659015
Name:LIAN, NAOMI (MD PHD)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:LIAN
Suffix:
Gender:
Credentials:MD PHD
Other - Prefix:
Other - First Name:ZHENG
Other - Middle Name:
Other - Last Name:LIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:133 HARBOUR CLOSE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-2841
Mailing Address - Country:US
Mailing Address - Phone:540-759-6839
Mailing Address - Fax:203-457-8555
Practice Address - Street 1:301 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-1807
Practice Address - Country:US
Practice Address - Phone:315-315-4486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2829962084P0804X, 2084F0202X
VA390200000X
CT1.0668062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry