Provider Demographics
NPI:1376178988
Name:LIANG-KAII, JIN PING
Entity Type:Individual
Prefix:MRS
First Name:JIN PING
Middle Name:
Last Name:LIANG-KAII
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5832 CLEARVIEW EXPY
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11364-1709
Mailing Address - Country:US
Mailing Address - Phone:917-916-9103
Mailing Address - Fax:
Practice Address - Street 1:6402 FLUSHING AVE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-2833
Practice Address - Country:US
Practice Address - Phone:718-416-1749
Practice Address - Fax:718-416-1752
Is Sole Proprietor?:No
Enumeration Date:2020-03-04
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist