Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Henny Liwan, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1376855007

Dr. Henny Liwan, MD is an Obstetrics/Gynecology in Brightwaters, New York. Qualified in 2008, 18 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and North Carolina.

Years since qualifying
18
Licensed in
MI, NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

404 Potter Blvd
Brightwaters, NY 11718
Phone: (631) 376-0055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 781 Avent Ferry Rd Ste 106, Holly Springs, NC 27540-7776 — (919) 567-6133
  • 404 Potter Blvd, Brightwaters, NY 11718 — (631) 376-0055

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301096524 (MI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2020-00262 (NC)

Record details

NPI number1376855007
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2010
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address404 Potter Blvd, Brightwaters, NY 11718-1830

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brightwaters