Provider Demographics
NPI:1518054188
Name:LIU, CHRISTER S (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTER
Middle Name:S
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:13620 38TH AVE
Mailing Address - Street 2:SUITE 5I
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4233
Mailing Address - Country:US
Mailing Address - Phone:718-939-9200
Mailing Address - Fax:718-939-7474
Practice Address - Street 1:13620 38TH AVE
Practice Address - Street 2:SUITE 5I
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4233
Practice Address - Country:US
Practice Address - Phone:718-939-9200
Practice Address - Fax:718-939-7474
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2008-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY111401207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7611899OtherAETNA PPO
NY3229272OtherAETNA HMO
NY7611899OtherAETNAPPO
NYCL00432T10OtherBC&BS PIN
NY000000110400OtherGHI HMO
NY00563608Medicaid
NY4229964OtherAETNA CHICKMAG
NY0432T1OtherBLUE CROSS & BLUE SHEILD
NY3229272OtherAETNAHMO
NY7611899OtherAETNAPPO
NY00563608Medicaid