Individual
MS. MARY LIZETTE CABICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
575 W 181ST ST, NEW YORK, NY 10033-5002
(212) 342-3062
Mailing address
575 W 181ST ST, NEW YORK, NY 10033-5002
(212) 342-3062
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306321
NY
Other
Enumeration date
02/01/2013
Last updated
04/06/2016
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