Provider Demographics
NPI:1275791667
Name:LIAPAKIS, ANNMARIE (MD)
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:LIAPAKIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNMARIE
Other - Middle Name:
Other - Last Name:HUYSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 208019 333 CEDAR ST/1080 L
Mailing Address - Street 2:YALE DEPT OF INTERNAL MED SECTION OF DIGESTIVE DISEASES
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8019
Mailing Address - Country:US
Mailing Address - Phone:203-785-6140
Mailing Address - Fax:203-785-7273
Practice Address - Street 1:40 TEMPLE STREET, SUITE 1A
Practice Address - Street 2:YALE DIGESTIVE DISEASES TEMPLE MEDICAL CENTER
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-785-4138
Practice Address - Fax:203-737-1345
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT51060207RG0100X
NY242595207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology