Individual ProviderLiza LeungEmergency MedicineAllopathic & Osteopathic PhysiciansPractice AddressStony Brook Medicine Dept Of Emergency, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350(631) 444-2478PECOS EnrollmentBased on the most recent information from CMS, provider Liza Leung is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1174787154Provider TypeIndividualFull NameLeung, LizaTitleMs.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date7/18/2008Last Updated3/6/2019Contact InformationPractice LocationPractice AddressStony Brook Medicine Dept Of Emergency, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350Phone(631) 444-2478FaxUnlisted FaxMailing LocationMailing AddressPO Box 1554, Stony Brook, NY 11794-8350Phone(631) 444-2478FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense254798New YorkCode207PE0004XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseP0755Texas