Liezl Villaverde, MD PC

NPI #1093234858 in Staten Island, New York

Provider Information

NPI Number
1093234858
Entity Type
Organization
Organization Name
Liezl Villaverde, MD PC
Subpart
Yes (part of a larger organization)
Parent Organization
LIEZL VILLAVERDE, MD PC
Primary Specialty
Pediatrics
Enumeration Date
Sep 13, 2017
Last Updated
Sep 13, 2017

Practice Location

Address
105 BYRNE AVE
ZIP Code
10314
Phone
(718) 698-7220

Authorized Official

Name
MRS. LIEZL VILLAVERDE, MD
Title
PRESIDENT
Phone
(718) 698-7220

Specialties & Taxonomy Codes

Specialty
Pediatrics

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