Individual ProviderKathleen LieuSpecialistOther Service ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2559(718) 630-7425(718) 630-6180PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Lieu 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 3 days ago.Profile DetailsProvider ID1932344843Provider TypeIndividualFull NameLieu, KathleenTitleMs.CredentialP.T.GenderFemaleSole ProprietorYesEnumeration Date12/5/2008Last Updated12/5/2008Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2559Phone(718) 630-7425Fax(718) 630-7604Mailing LocationMailing Address5800 3rd Ave, Brooklyn, NY 11220-3702Phone(718) 630-6180Fax(718) 630-7437Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense030845New York