Provider Demographics
NPI:1598926354
Name:W.LIANG'S MEDICAL OFFICE
Entity Type:Organization
Organization Name:W.LIANG'S MEDICAL OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WEINING
Authorized Official - Middle Name:W
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-886-1150
Mailing Address - Street 1:PO BOX 520112
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11352-0112
Mailing Address - Country:US
Mailing Address - Phone:718-886-8180
Mailing Address - Fax:800-968-8918
Practice Address - Street 1:13302 41ST AVE APT 1F
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5848
Practice Address - Country:US
Practice Address - Phone:718-886-1150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203586170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01849985Medicaid
NY07447Medicare PIN