Provider Demographics
NPI:1982139309
Name:LIAO, CHIENMING
Entity type:Individual
Prefix:
First Name:CHIENMING
Middle Name:
Last Name:LIAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 W 57TH ST STE 603
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2810
Mailing Address - Country:US
Mailing Address - Phone:212-757-1333
Mailing Address - Fax:212-757-6333
Practice Address - Street 1:57 W 57TH ST STE 603
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2810
Practice Address - Country:US
Practice Address - Phone:212-757-1333
Practice Address - Fax:212-757-6333
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041353225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist