MRS. LIZ S DEJESUS RN NPI 1447761648

NPI Information

NPI: 1447761648
Provider Name: MRS. LIZ S DEJESUS, RN
Classification: Clinic/Center - 261QM2800X
Entity Type: Individual

Specialization: Methadone

Address:
706 EXECUTIVE BLVD STE D
VALLEY COTTAGE, NY
ZIP 10989
Phone: (845) 362-3904
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MRS. Liz S Dejesus, RN is a methadone clinic center in Valley Cottage, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. MRS. Liz S Dejesus, RN NPI is 1447761648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

706 EXECUTIVE BLVD STE D
VALLEY COTTAGE, NY
ZIP 10989-039
Phone: (845) 362-3904

The enumeration date for this NPI number is 10/16/2017 and was last updated on 10/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone	703033	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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