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1275175994
IDY LIANG
BROOKLYN, NY
NPI
1275175994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NY 309372)
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
IDY LIANG
773 54TH ST
BROOKLYN, NY 11220-3202
Phone number: 917-915-5602
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Mailing Address
IDY LIANG
773 54TH ST
BROOKLYN, NY 11220-3202
Phone number: 917-915-5602
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