Provider Demographics
NPI:1366734642
Name:LIU, CORINNE C (MD)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:C
Last Name:LIU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 95000-5560
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-5560
Mailing Address - Country:US
Mailing Address - Phone:865-766-8800
Mailing Address - Fax:865-766-8874
Practice Address - Street 1:120 MINEOLA BLVD STE 10
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4064
Practice Address - Country:US
Practice Address - Phone:516-663-4510
Practice Address - Fax:516-663-3698
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2013-07-31
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Provider Licenses
StateLicense IDTaxonomies
NY2544852085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology