Individual provider · Type 1 NPI
Gaston Mike Liu, DPM
Foot & Ankle Surgery Podiatrist · Commack, NY
NPI number
1104271469
Active
Practice location
366 Veterans Memorial Hwy Ste 9
Commack, NY 11725-4351
Fax (631) 883-6636
Mailing address
57 Southern Blvd Ste 1
Nesconset, NY 11767-1091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N007083 (NY) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | N007083-01 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1104271469
Gaston Mike Liu, DPM's National Provider Identifier is 1104271469, issued on Apr 24, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Commack, NY. The record was last updated on Apr 24, 2025.