Individual
MRS. REBECCA LIZARRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
521 W 57TH ST, 4TH FLOOR, NEW YORK, NY 10019-2929
(212) 265-8070
(212) 265-8194
Mailing address
521 W 57TH ST, 4TH FLOOR, NEW YORK, NY 10019-2929
(212) 265-8070
(212) 265-8194
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305735
LICENSE NUMBER
NY
Enumeration date
07/07/2011
Last updated
07/07/2011
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