Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LIZ S DEJESUS, RN
Active Sole ProprietorMethadone Clinic · VALLEY COTTAGE, NY
Registration Details
- NPI Number
- 1447761648
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2017 (8.5126590548159 yrs)
- Last Updated
- Oct 16, 2017
- License
-
703033 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
706 EXECUTIVE BLVD STE DVALLEY COTTAGE, NY, 109892039Browse NY providers · Browse ZIP 10989
- Phone
- 8453623904
- Primary Specialty
-
Methadone Clinic
261QM2800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.