Dr. Shannen Liu
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1194181982
StatusActive
Last updated in NPPESSep 18, 2022
Details
- NPI
- 1194181982
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shannen Liu
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2016
- Certification date
- Sep 18, 2022
- Last updated
- Sep 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
58a W 15th StNew York, NY 10011-6835
Phone 212-242-5815
Mailing address
58a W 15th StNew York, NY 10011-6835
Phone 212-242-5815
Other practice locations
911 Park Ave Apt 1a
New York, NY 10075-0385
New York, NY 10075-0385
Phone 212-772-7242
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