Provider Demographics
NPI:1457323727
Name:LIONG, FEI-LIEN HELEN (MD)
Entity Type:Individual
Prefix:
First Name:FEI-LIEN
Middle Name:HELEN
Last Name:LIONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 BOWERY UNIT 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4615
Mailing Address - Country:US
Mailing Address - Phone:212-203-6683
Mailing Address - Fax:332-220-0215
Practice Address - Street 1:86 BOWERY UNIT 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4615
Practice Address - Country:US
Practice Address - Phone:212-203-6683
Practice Address - Fax:332-220-0215
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183719207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01466724Medicaid
F73552Medicare UPIN
NY01466724Medicaid