Provider Demographics
NPI:1851594485
Name:LIANG, DEREN (LAC)
Entity Type:Individual
Prefix:MR
First Name:DEREN
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 1:8896 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6002
Mailing Address - Country:US
Mailing Address - Phone:718-837-3313
Mailing Address - Fax:
Practice Address - Street 1:8 BAY 35TH ST
Practice Address - Street 2:1ST FLOOR, LIANG'S ACUPUNCTURE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4363
Practice Address - Country:US
Practice Address - Phone:718-265-6919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000675171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist