Provider Demographics
NPI:1003145566
Name:LIU, JUN YI (LAC)
Entity Type:Individual
Prefix:
First Name:JUN YI
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 COLLEGE POINT BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5169
Mailing Address - Country:US
Mailing Address - Phone:917-285-2279
Mailing Address - Fax:718-228-6798
Practice Address - Street 1:4055 COLLEGE POINT BLVD FL 2
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5169
Practice Address - Country:US
Practice Address - Phone:917-285-2279
Practice Address - Fax:718-228-6798
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-12
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist