SHANG LIU (NPI# 1013921246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013921246 |
| Entity Type | Individual |
| Full Name | SHANG LIU |
| Credential | MD |
| Practice Address |
4128 Haight Street Unit 1c Flushing NY 11355-4271 |
| Practice Telephone | 7183218112 |
| Mailing Telephone | 7183218112 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
228075 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02436359 | 05 |
| Street Address |
4128 HAIGHT STREET UNIT 1C |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-4271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760472310 | Jin Xu | Psychiatry & Neurology | 14022 Beech Ave Ste 2a, Flushing, NY 11355-2821 | 2005-10-25 |
| 1871583641 | Ramaseshu Anne | Psychiatry & Neurology | 4618 160th St, Flushing, NY 11358-3633 | 2005-10-24 |
| 1710194246 | Barry D Holzer | Psychiatry & Neurology | 13718 Jewel Ave, Flushing, NY 11367-1962 | 2007-05-16 |
| 1104963628 | Alla Weinstein | Psychiatry & Neurology | 7150 Parsons Blvd, Flushing, NY 11365-4131 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
| 1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.