Individual
BRENDAN GEORGE LIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
716 WILSON CT, RIVER VALE, NJ 07675-6345
(201) 321-8601
Mailing address
716 WILSON CT, RIVER VALE, NJ 07675-6345
(201) 321-8601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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