Individual ProviderMelissa LiuStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address622 W 168th Street, New York, NY 10032(212) 305-5232PECOS EnrollmentBased on the most recent information from CMS, provider Melissa Liu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1861299968Provider TypeIndividualFull NameLiu, MelissaTitleMissCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date2/26/2025Last Updated2/26/2025Contact InformationPractice LocationPractice Address622 W 168th Street, New York, NY 10032Phone(212) 305-5232FaxUnlisted FaxMailing LocationMailing Address622 W 168th Street, Ph 5-133 Stem, New York, NY 10032Phone(212) 305-5232FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer