Individual
LILIANA C PANIZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4405 BROADWAY, NEW YORK, NY 10040-4014
(212) 740-2020
Mailing address
4405 BROADWAY, NEW YORK, NY 10040-4014
(212) 740-2020
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F308271-1
NY
Other
Enumeration date
09/13/2017
Last updated
02/25/2025
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