Tique, Liliana

Tique, Liliana is an individual health care provider with primary practice located at 2701 Sunrise Hwy , Islip Terrace NY 11752-2612. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Tique, Liliana can be contacted via phone (631) 581-9330.

Contact Information

Primary practice address
2701 Sunrise Hwy Islip Terrace NY 11752-2612
Phone: (631) 581-9330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 219602 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 219602 New York

Profile Details

NPI number 1053359067
LBN Legal business name Tique, Liliana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Sep 11th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053359067 NPPES
New York MEDICAID 02379995
New York Other 7740538
New York Other 508Y31

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