Organization
VICENTE J LIZ DEFILLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTE J LIZ DEFILLO M.D. (PRACTITIONER)
(646) 359-1012
Entity
Organization
Contact information
Practice address
30 W 60TH ST APT 1F, NEW YORK, NY 10023-7906
(646) 359-1012
(718) 960-2023
Mailing address
1295 5TH AVE APT 33D, NEW YORK, NY 10029-3134
(646) 359-1012
(718) 960-2023
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
270405
NY
Other
Enumeration date
10/04/2017
Last updated
01/28/2026
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