Individual
MRS. ALIZA JOSEFOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1312 38TH ST, BROOKLYN, NY 11218-3612
(718) 686-3700
Mailing address
14709 71ST RD, FLUSHING, NY 11367-2010
(732) 801-4331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
764185581
NY
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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