IDY LIANG


Address: 773 54th St, Brooklyn, NY 11220-3202
Phone: 9179155602

IDY LIANG (NPI# 1275175994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275175994
Entity Type Individual
Full Name IDY LIANG
Practice Address 773 54th St
Brooklyn
NY 11220-3202
Practice Telephone 9179155602
Mailing Telephone 9179155602
Enumeration Date 2019-10-15
Last Update Date 2019-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
309372 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 773 54TH ST
City BROOKLYN
State NY
Zip Code 11220-3202

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1578116265 Jing Li Registered Nurse 59-56 Brooklyn, Kings, NY 11220 2019-07-22
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1548729775 Ayah Rashwan Student in an Organized Health Care Education/Training Program Nyu Langone Health 150 55th St, Brooklyn, NY 11220 2019-03-18
1477012854 Jeffrey A Dang Physician Assistant 5517 7th Ave. #1f, Brooklyn, NY 11220 2019-03-15
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962029009 Sharon Wu Nurse Practitioner 2426 W 3rd St, Brooklyn, NY 11223-5930 2020-07-05
1619590486 Jan Jeremiah Nurse Practitioner 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 2020-05-27
1801425210 Rehana Luana Lowtan Nurse Practitioner 3101 Avenue I Apt 6c, Brooklyn, NY 11210-3855 2020-04-07
1942839485 Avril Staceyanne Robinson Nurse Practitioner 924 E 101st St, Brooklyn, NY 11236-2618 2020-04-06
1316595564 Danielle Sharaby-glasser Nurse Practitioner Franklin K Lane School Based Health Center, 999 Jamaica Avenue, Brooklyn, NY 11208 2019-08-30
1245793900 Jennifer Peace Polatchek Nurse Practitioner 40 Ocean Pkwy Apt 1d, Brooklyn, NY 11218-1538 2019-04-10
1235615923 Mellisa Georgette Porter Nurse Practitioner 1180 E 55th St, Brooklyn, NY 11234-2418 2018-07-16
1518459825 Mengmin Liu Nurse Practitioner 566 60th St, Brooklyn, NY 11220 2018-06-01
1467963157 Janiece Ann Francis Nurse Practitioner 881 E 54th St, Brooklyn, NY 11234-1210 2017-10-20
1962930578 Nicole Ann-marie Mundle Nurse Practitioner 1076 E 56th St, Brooklyn, NY 11234-2404 2017-05-25
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Competitor

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City BROOKLYN
Zip Code 11220

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Dataset Information

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.

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