Liu, Kofeng
Liu, Kofeng is an sole proprietor health care provider with primary practice located at 3915 Main St Suite100, Flushing NY 11354-5431. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Liu, Kofeng can be contacted via phone (718) 353-3133.Contact Information
Primary practice address
3915 Main St Suite100
Flushing NY 11354-5431
Phone: (718) 353-3133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 048253 | New York |
Profile Details
| NPI number | 1871646992 |
|---|---|
| LBN Legal business name | Liu, Kofeng |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1871646992 | NPPES |
| New York | MEDICAID | 01960796 |
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