Provider Demographics
NPI:1043514243
Name:LIANG, MEI YU (DOCTOR NURSE PRACTIT)
Entity Type:Individual
Prefix:DR
First Name:MEI YU
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:DOCTOR NURSE PRACTIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5521 8TH AVE UNIT 3C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3515
Mailing Address - Country:US
Mailing Address - Phone:718-437-3855
Mailing Address - Fax:718-437-3856
Practice Address - Street 1:5521 8TH AVE UNIT 3C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3515
Practice Address - Country:US
Practice Address - Phone:718-437-3855
Practice Address - Fax:718-437-3856
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03600277Medicaid