Provider Demographics
NPI:1831238641
Name:EUGENE J. LIU, M.D., P.C.
Entity type:Organization
Organization Name:EUGENE J. LIU, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:LA RA
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:914-693-1050
Mailing Address - Street 1:18 ASHFORD AVE STE GE
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1823
Mailing Address - Country:US
Mailing Address - Phone:914-693-1050
Mailing Address - Fax:914-693-0462
Practice Address - Street 1:18 ASHFORD AVE SUITE GE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522
Practice Address - Country:US
Practice Address - Phone:914-693-1050
Practice Address - Fax:914-639-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WET431Medicare ID - Type Unspecified