Individual
LIZA JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 BEAUMONT CIR, APT-1, YONKERS, NY 10710-2032
(914) 346-5868
Mailing address
97 BEAUMONT CIR, APT-1, YONKERS, NY 10710-2032
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
F337890-1
NY
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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