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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

NPI Number 1093234858
LBN Legal business name LIEZL VILLAVERDE, MD PC
Authorized official LIEZL VILLAVERDE - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/13/2017
Last updated 09/13/2017 - About 9 years ago
Identifiers
NY License # 210729
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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