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Individual

MRS. ELIZABETH D AVARICIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9511 101ST AVE, OZONE PARK, NY 11416-2500
(718) 848-1171
(718) 323-0032
Mailing address
9511 101ST AVE, OZONE PARK, NY 11416-2500
(718) 848-1171
(718) 323-0032

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222937
NY
208000000X
Pediatrics Physician
ME171859
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02367471
NY
05
125832100
FL
Enumeration date
11/16/2005
Last updated
06/05/2025
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