Liu, Justin M

Liu, Justin M is an individual health care provider with primary practice located at 31 Main Rd Ste 3 , Riverhead NY 11901. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Liu, Justin M can be contacted via phone (631) 727-6308.

Contact Information

Primary practice address
31 Main Rd Ste 3 Riverhead NY 11901
Phone: (631) 727-6308
Fax: (631) 369-8129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 022149-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 022149-1 New York

Profile Details

NPI number 1356837702
LBN Legal business name Liu, Justin M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2018
Last updated Oct 19th, 2018 - about 7 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.

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