Individual
LIZA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
447 DOUGHTY BLVD, INWOOD, NY 11096-1345
(888) 806-3379
Mailing address
1960 N COMMERCE PKWY STE 8, WESTON, FL 33326-3247
(954) 384-0847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RI02671300
NJ
183500000X
Pharmacist
S015373
AZ
1835G0303X
Geriatric Pharmacist
Primary
050939
NY
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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