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Mrs. Liz S Dejesus, RN
Methadone Clinic in Valley Cottage, New York
NPI 1447761648

Liz S Dejesus is a Methadone Clinic based in Stony Point, NY and is specialized in Methadone. Liz S Dejesus practices in Valley Cottage, NY and has the professional credentials of RN. The NPI Number for Liz S Dejesus is 1447761648 and holds a License No. 703033 (New York).

The current practice location address for Liz S Dejesus is 706 Executive Blvd Ste D, Valley Cottage, NY and can be reached out via phone at 845-362-3904.

Location: 706 Executive Blvd Ste D, Valley Cottage, NY, 10980-2710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447761648
Provider Name
Liz S Dejesus
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
706 Executive Blvd Ste D, Valley Cottage, NY, 10980-2710
Phone Number
845-362-3904
Fax Number
Provider Enumeration Date
10/16/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
706 Executive Blvd Ste D
City
Valley Cottage
State
New York
Zip
10989-2039
Phone Number
845-362-3904
Fax Number
person
Provider Business Mailing Address Details
Address
706 Executive Blvd Ste D
City
Valley Cottage
State
New York
Zip
10989-2039
Phone Number
845-362-3904
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
703033 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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