Individual
MS. JACQUELINE BELIZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000
Mailing address
14 WILLOW POND LN, MILLER PLACE, NY 11764-1540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
08/27/2016
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