Provider Demographics
NPI:1780825067
Name:LIU, LENA (MD)
Entity Type:Individual
Prefix:DR
First Name:LENA
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 BATTERY PLACE
Mailing Address - Street 2:#14C
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10280
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 BATTERY PLACE
Practice Address - Street 2:#14C
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10280
Practice Address - Country:US
Practice Address - Phone:212-945-3701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY107659208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics