Provider Demographics
NPI:1679652069
Name:LIANG, YUCHAO (LAC)
Entity Type:Individual
Prefix:MR
First Name:YUCHAO
Middle Name:
Last Name:LIANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 58TH ST
Mailing Address - Street 2:B. FL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3679
Mailing Address - Country:US
Mailing Address - Phone:718-686-1736
Mailing Address - Fax:718-686-7098
Practice Address - Street 1:839 58TH ST
Practice Address - Street 2:B. FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3679
Practice Address - Country:US
Practice Address - Phone:718-686-1736
Practice Address - Fax:718-686-7098
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-04
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001849171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12184234OtherCAQH
NYNY1849OtherLANDMARK HEALTHCARE