Individual
MARIA DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VARICK ST FL 9, NEW YORK, NY 10014-4810
(212) 620-0340
Mailing address
200 VARICK ST., 9TH FLOOR, NEW YORK, NY 10014
(212) 620-0340
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307032
NY
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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