Provider Demographics
NPI:1912729914
Name:LIAKEAS MEDICAL PC
Entity type:Organization
Organization Name:LIAKEAS MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIAKEAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-564-2900
Mailing Address - Street 1:180 E 79TH ST # 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0437
Mailing Address - Country:US
Mailing Address - Phone:646-564-2900
Mailing Address - Fax:646-328-0804
Practice Address - Street 1:180 E 79TH ST # 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0437
Practice Address - Country:US
Practice Address - Phone:646-564-2900
Practice Address - Fax:646-328-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty