Provider Demographics
NPI:1437276839
Name:LIU, SHIH CHI (PT)
Entity Type:Individual
Prefix:
First Name:SHIH CHI
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:69 LORDS WAY
Mailing Address - Street 2:
Mailing Address - City:MANHASSET HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1211
Mailing Address - Country:US
Mailing Address - Phone:516-869-8373
Mailing Address - Fax:516-869-9723
Practice Address - Street 1:95-25 QUEENS BLVD, 5TH FLOOR,.
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4511
Practice Address - Country:US
Practice Address - Phone:718-896-5055
Practice Address - Fax:718-896-5286
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013214-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist