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Yan Hong Liu

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

829 57th St, 3fl, Brooklyn, NY 11220-3677

PECOS Enrollment

Based on the most recent information from CMS, provider Yan Hong Liu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1073859286
Provider Type
Individual
Full Name
Liu, Yan Hong
Gender
Female

Sole Proprietor
No
Enumeration Date
12/14/2012
Last Updated
12/14/2012

Contact Information

Practice Location

829 57th St, 3fl, Brooklyn, NY 11220-3677

(718) 382-6565

Unlisted Fax

Mailing Location

61-39 146 Place, Flushing, NY 11367

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 016264 New York

Yan Hong Liu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Chen, Jolina Jiaying

Fazzolari, Theresa Lynne

Triage Care Llc

Aguilar, Angelica

Persaud, Nadia P

Conte, Nicole

Badrian, Solomon

Loesch, Jesse Patrick

Dixon, Jeanette O

Leong, Julie