Individual
MS. JAZEL LIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
748 E TREMONT AVE, BRONX, NY 10457-5106
(718) 294-1083
(718) 294-1370
Mailing address
748 E TREMONT AVE, BRONX, NY 10457-5106
(718) 294-1083
(718) 294-1370
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009078
NY
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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