Healthcare Provider Details

I. General information

NPI: 1942629647
Provider Name (Legal Business Name): SHENG LIANG D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 W 36TH ST FL 3
NEW YORK NY
10018-1281
US

IV. Provider business mailing address

359 56TH ST APT 1
BROOKLYN NY
11220-3015
US

V. Phone/Fax

Practice location:
  • Phone: 929-483-5714
  • Fax: 332-264-5626
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number301567
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number301567
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number301567
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number301567
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: