Individual
LIZZET CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
260 PROSPECT AVE APT 555, HACKENSACK, NJ 07601-2607
(201) 679-8596
Mailing address
260 PROSPECT AVE APT 555, HACKENSACK, NJ 07601-2607
(201) 679-8596
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F433352
NY
Other
Enumeration date
09/19/2025
Last updated
10/21/2025
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