Provider Demographics
NPI:1881642189
Name:LIU, YANZHU (LAC, DIPLAC)
Entity Type:Individual
Prefix:
First Name:YANZHU
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:LAC, DIPLAC
Other - Prefix:
Other - First Name:MAX
Other - Middle Name:Y
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC, DIPLAC
Mailing Address - Street 1:613 W 169TH ST
Mailing Address - Street 2:1ST FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-2914
Mailing Address - Country:US
Mailing Address - Phone:212-927-8039
Mailing Address - Fax:718-395-3247
Practice Address - Street 1:613 W 169TH ST
Practice Address - Street 2:1ST FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-2914
Practice Address - Country:US
Practice Address - Phone:212-927-8039
Practice Address - Fax:718-395-3247
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002075171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist