Individual
SANNIU LIU-LEZAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Mailing address
ELMHURST HOSPITAL, 79-01 BROADWAY, ELMHURST, NY 11373-0000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402478
NY
Other
Enumeration date
09/21/2012
Last updated
04/30/2024
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