Provider Demographics
NPI:1528545589
Name:LIANG, LIN YING (CBD, CPD)
Entity Type:Individual
Prefix:
First Name:LIN
Middle Name:YING
Last Name:LIANG
Suffix:
Gender:F
Credentials:CBD, CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 SUMNER AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-1514
Mailing Address - Country:US
Mailing Address - Phone:646-599-1219
Mailing Address - Fax:
Practice Address - Street 1:55 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-1514
Practice Address - Country:US
Practice Address - Phone:646-599-1219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula