DR. LILIANA TIQUE M.D. NPI 1053359067

NPI Information

NPI: 1053359067
Provider Name: DR. LILIANA TIQUE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
PECOS Registration: Yes
Address: 2701 SUNRISE HWY
ISLIP TERRACE, NY
ZIP 11752
Phone: (631) 581-9330

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NPI Details

DR. Liliana Tique, M.D. is a pediatrics in Islip Terrace, NY with 27 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Liliana Tique, M.D. NPI is 1053359067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1998

The provider's business location address is:

2701 SUNRISE HWY
ISLIP TERRACE, NY
ZIP 11752-612
Phone: (631) 581-9330

The NPI 1053359067 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 9/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		219602	NEW YORK	No
2	208000000X	Pediatrics		219602	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7740538	OTHER	NEW YORK	AETNA
2	02379995	MEDICAID	NEW YORK
3	H93030	MEDICARE UPIN	NEW YORK
4	557Y01	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
5	508Y31	OTHER	NEW YORK	EMPIRE BC.BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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