Liaw, Jenny J
Liaw, Jenny J is an sole proprietor health care provider with primary practice located at 21017 Northern Blvd , Bayside NY 11361-3239. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Liaw, Jenny J can be contacted via phone (718) 224-6528.Contact Information
Primary practice address
21017 Northern Blvd
Bayside NY 11361-3239
Phone: (718) 224-6528
Fax: (718) 224-8964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 182058 | New York |
Profile Details
| NPI number | 1992867600 |
|---|---|
| LBN Legal business name | Liaw, Jenny J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992867600 | NPPES |
| New York | MEDICAID | 01435372 |
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