Active NPI
Emily Liu
- Specialist
- Camillus, NY
National Provider Identifier
1245125632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1658688221
- Practice address
- 2555 Hambletonian Way
Camillus, NY 13031-8640 - Phone
- (315) 227-2555
- NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1658688221 | NY | Primary |
Addresses
Primary practice location
2555 Hambletonian Way
Camillus, NY 13031-8640
Mailing address
210 Union Ave Apt 2
Syracuse, NY 13203-1746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1658688221 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1245125632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 UNION AVE APT 2",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 HAMBLETONIAN WAY",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130318640",
"telephone_number": "315-227-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1658688221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.