Individual
MA.RIZA LISING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8710 CORONA AVE FL 3, ELMHURST, NY 11373-3900
(718) 592-6609
Mailing address
8710 CORONA AVE FL 3, ELMHURST, NY 11373-3900
(718) 592-6609
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305317
NY
Other
Enumeration date
08/18/2008
Last updated
03/29/2013
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