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Dr. Gaston Mike Liu, DPM
Foot & Ankle Surgery Podiatrist in Patchogue, New York
NPI 1104271469

Gaston Mike Liu is a Foot & Ankle Surgery Podiatrist based in Patchogue, NY and is specialized in Foot & Ankle Surgery. Gaston Mike Liu practices in Patchogue, NY and has the professional credentials of DPM. The NPI Number for Gaston Mike Liu is 1104271469 and holds a License No. (New York).

The current practice location address for Gaston Mike Liu is 440 Waverly Ave Ste 3, Patchogue, NY and can be reached out via phone at 631-654-3838.

Location: 440 Waverly Ave Ste 3, Patchogue, NY, 11772-1597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104271469
Provider Name
Gaston Mike Liu
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
440 Waverly Ave Ste 3, Patchogue, NY, 11772-1597
Phone Number
631-654-3838
Fax Number
Provider Enumeration Date
04/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
440 Waverly Ave Ste 3
City
Patchogue
State
New York
Zip
11772-1597
Phone Number
631-654-3838
Fax Number
person
Provider Business Mailing Address Details
Address
440 Waverly Ave Ste 3
City
Patchogue
State
New York
Zip
11772-1597
Phone Number
631-654-3838
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
N007083 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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