Henny Liwan (NPI# 1376855007, PAC ID# 9335365113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1376855007 |
| PAC ID by PECOS | 9335365113 |
| Professional Enrollment ID | I20190621000978 |
| Full Name | Henny Liwan |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Address |
404 Potter Blvd Brightwaters NY 11718-1830 |
| Phone Number | 6313760055 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3375701568 |
| Number of Group Practice Members | 3620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330043 | NS/LIJ HS SOUTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 404 Potter Blvd, Brightwaters, NY 11718-1830 | 6313760055 | NORTH SHORE-LIJ MEDICAL PC |
| 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 6315486000 | NORTH SHORE-LIJ MEDICAL PC |
| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Physicians | 3634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Elizabeth Coletto | Nurse Practitioner | North Shore-lij Medical PC | 1350 Northern Blvd, Suite 202, Manhasset, NY 11030-3013 |
| Grace E Berlin | Rheumatology | North Shore-lij Medical PC | 1551 Richmond Rd, Suite 1a, Staten Island, NY 10304-2338 |
| Wai C Man | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
| Calley Hannah Salomon Levine | Gastroenterology | North Shore-lij Medical PC | 600 Northern Boulevard, Suite 111, Great Neck, NY 11021-5200 |
| Glenn Joseph Forrester | General Surgery | North Shore-lij Medical PC | 777 N Broadway, Sleepy Hollow, NY 10591-1000 |
| Nehal Shukla | Family Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
| Pooja R Shah | Dermatology | North Shore-lij Medical PC | 1991 Marcus Ave, Suite 302, New Hyde Park, NY 11042-2058 |
| Ayesha T Ali | Infectious Disease | North Shore-lij Medical PC | 500 W Main St, Babylon, NY 11702-3027 |
| Perumal Thiyagarajan | Hospitalist | North Shore-lij Medical PC | 221 Jericho Turnpike, Syosset, NY 11791-4515 |
| Jessica Fassano | Nurse Practitioner | North Shore-lij Medical PC | 26901 76th Ave, New Hyde Park, NY 11040-1433 |
| Street Address |
404 POTTER BLVD |
| City | BRIGHTWATERS |
| State | NY |
| Zip | 11718-1830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anze Urh | Gynecological Oncology | North Shore-lij Medical PC | 404 Potter Blvd, Brightwaters, NY 11718-1830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond F Mattfeld | Physical Therapy | 160 Orinoco Dr, Brightwaters, NY 11718-1307 | |
| Debra Kuhn | Psychologist, Clinical | 140 S Windsor Ave, Brightwaters, NY 11718-1506 | |
| Leonard J Schwartz | Psychologist, Clinical | 140 S Windsor Ave, Brightwaters, NY 11718-1506 | |
| Nancy F Solomon | Clinical Social Worker | 140 S Windsor Ave, Brightwaters, NY 11718-1506 | |
| Stanley R Brett | Psychologist, Clinical | 42 Concourse E, Brightwaters, NY 11718-1510 | |
| Rachel Demaio | Nurse Practitioner | Physical Medicine and Rehabilitation of Long Island Pllc | 234 Orinoco Dr, Brightwaters, NY 11718-1822 |
| Hui Chon Kim | Physical Medicine and Rehabilitation | Physical Medicine and Rehabilitation of Long Island Pllc | 234 Orinoco Dr, Brightwaters, NY 11718-1822 |
| Kristen F Tasch | Physical Therapy | First Step Physical Therapy of Long Island | 234 Orinoco Dr, Brightwaters, NY 11718-1822 |
| John Richard Lottes | Physical Therapy | First Step Physical Therapy of Long Island | 234 Orinoco Dr, Brightwaters, NY 11718-1822 |
| Paulinder Rai | Physical Medicine and Rehabilitation | Physical Medicine and Rehabilitation of Long Island Pllc | 234 Orinoco Dr, Brightwaters, NY 11718-1822 |
| Find all physicians in zip 11718 | |||
| City | BRIGHTWATERS |
| Zip Code | 11718 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BRIGHTWATERS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Henny Liwan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.