Provider Demographics
NPI:1710093000
Name:APPLEWHITE, LIAT E (MD)
Entity Type:Individual
Prefix:
First Name:LIAT
Middle Name:E
Last Name:APPLEWHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LIAT
Other - Middle Name:E
Other - Last Name:APPLEWHITE-BLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 55TH ST
Mailing Address - Street 2:STATION 5-04
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2553
Mailing Address - Country:US
Mailing Address - Phone:718-630-8555
Mailing Address - Fax:718-630-8576
Practice Address - Street 1:150 55TH ST
Practice Address - Street 2:STATION 5-04
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2553
Practice Address - Country:US
Practice Address - Phone:718-630-8555
Practice Address - Fax:718-630-8576
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-15832207V00000X, 207VM0101X
CAG179749207VM0101X
NY185760207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1591771Medicaid
NY1591771Medicaid
NYF70862Medicare UPIN