| Doctor Name: | DR. LIONG BIAN TJOA |
| NPI Number: | 1023167053 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 124915 |
| Business Practice Address: | 1526 Walden Avenue Suite 400 Cheektowaga, NY - 142254985 |
| Business Phone Number: | 7168956700 |
| Business Fax Number: | 7163324488 |
| Mailing Address: | 1526 Walden Avenue, Suite 400, Mid-erie Counseling & Treatment Services CHEEKTOWAGA |
| State: | NY |
| Postal Code: | 142254965 |
| Phone Number: | 7168956700 |
| Fax Number: | 7163324488 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 09/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 124915 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |