Healthcare Provider Details

I. General information

NPI: 1083065692
Provider Name (Legal Business Name): BRENDA LIANG O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 OLD COUNTRY RD
WESTBURY NY
11590-5624
US

IV. Provider business mailing address

1250 OLD COUNTRY RD
WESTBURY NY
11590-5624
US

V. Phone/Fax

Practice location:
  • Phone: 516-479-2752
  • Fax: 516-324-2232
Mailing address:
  • Phone: 516-479-2752
  • Fax: 516-324-2232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number008442
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: