Provider Demographics
NPI:1730760554
Name:LIU, XIUQIN (LAC,MS)
Entity type:Individual
Prefix:
First Name:XIUQIN
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:LAC,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 E 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4402
Mailing Address - Country:US
Mailing Address - Phone:718-799-2822
Mailing Address - Fax:718-872-6999
Practice Address - Street 1:2120 E 16TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4402
Practice Address - Country:US
Practice Address - Phone:347-673-8000
Practice Address - Fax:718-872-6999
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010320225200000X
NY007539171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007539OtherACUPUNCTURIST
NY010320OtherPTA