Most Relevant Information
Provider Data
| NPI Number: | 1003510207 |
| Provider Name: | JENNY LIAO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | P120872 |
Most Important Dates
| Enumeration Date: | 03/30/2023 |
| Last Updated: | 03/30/2023 |
Provider Practice Location
4322 QUEENS ST APT 601
LONG ISLAND CITY
NY
111017926
Practice Location Phone/Fax
| Phone: | 9173962329 |
| Fax: |
Provider Mailing Location
4322 QUEENS ST APT 601
LONG ISLAND CITY
NY
111017926
Provider Mailing Phone/Fax
| Phone: | 9173962329 |
| Fax: |