DR. TEDDY TAT-TAK LIU (NPI# 1215956206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215956206 |
| Entity Type | Individual |
| Full Name | DR. TEDDY TAT-TAK LIU |
| Credential | MD |
| Practice Address |
133-47 Sanford Ave Ste C1en Flushing NY 11355-5800 |
| Mailing Address |
24 Hampshire Rd Great Neck NY 11023-2219 |
| Practice Telephone | 7188889220 |
| Practice Fax Number | 7185399344 |
| Mailing Telephone | 5164873901 |
| Mailing Fax Number | 5164873901 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 206131 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01863065 | 05 |
| Street Address |
133-47 SANFORD AVE STE C1EN |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538194451 | Chia-der Wu | Ophthalmology | 133-47 Sanford Ave, Ste 2b, Flushing, NY 11355 | 2006-07-11 |
| 1114311578 | Am Care, Corp | Physical Therapist | 133-47 Sanford Ave, Suite C1e, Flushing, NY 11355 | 2015-03-24 |
| 1780619692 | Alexander Chinyung Wu | Ophthalmology | 133-47 Sanford Ave, Suite 2b, Flushing, NY 11355 | 2006-07-11 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1609425040 | Yoojin Kim M.d.p.c | Pediatrics | 15814 Northern Blvd Ste Ml7, Flushing, NY 11358-1600 | 2019-09-09 |
| 1861914202 | Charles I. Okwundu | Pediatrics | 5757 78th St, Flushing, NY 11379-5303 | 2017-07-07 |
| 1013440262 | Alicia Marie Mcbride | Pediatrics | 5645 Main St Fl 1, Flushing, NY 11355-5045 | 2017-04-05 |
| 1841672961 | Chak Shui Wong | Pediatrics | 4265 Kissena Blvd Ste L4, Flushing, NY 11355-3273 | 2015-06-25 |
| 1497161558 | Jae Hong Min, M.d.,p.c. | Pediatrics | 3409 Murray St Fl 1, Flushing, NY 11354-3948 | 2014-07-09 |
| 1235494899 | Meenakshi Bhuvaneswar | Pediatrics | 139-25-31st Rd, Apt 4a, Flushing, NY 11354 | 2012-07-10 |
| 1952693228 | Michael Jerry Lee | Pediatrics | 136-26 37th Avenue, Flushing, NY 11354-1721 | 2011-05-05 |
| 1598064107 | Hongye Li | Pediatrics | 13107 40th Rd Ste E09, Flushing, NY 11354-5208 | 2011-03-22 |
| 1437454576 | Irfan Asra | Pediatrics | 42-55 Colden St, Apt 6c, Flushing, NY 11355 | 2011-01-21 |
| Find all providers in FLUSHING | ||||
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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.