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Contact Information

LIEZL VILLAVERDE, MD PC
105 BYRNE AVE
STATEN ISLAND, NY10314
 Phone: 718-698-7220
 Fax: 718-698-2004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LIEZL VILLAVERDE MD PC · (Female)

NPI # 1093234858
Status Active
Credentials
Entity Individual
Enumeration date 09/13/2017
Last updated 09/13/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 210729
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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