Organization · Type 2 NPI
Gaston Mike Liu LLC
Foot & Ankle Surgery Podiatrist · Commack, NY
NPI number
1114769940
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 Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1114769940
Gaston Mike Liu LLC's National Provider Identifier is 1114769940, issued on Jun 11, 2024. 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.