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1417387572
ALIZA BLACK
ENGLEWOOD, NJ
NPI
1417387572
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Former Name
ALIZA BERKOWITZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 017080)
Enumeration Date
2013-11-26
Last Update Date
2021-04-26
Business Address
ALIZA BLACK
78 FRANKLIN ST
ENGLEWOOD, NJ 07631-3616
Phone number: 917-776-8725
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Mailing Address
ALIZA BLACK
78 FRANKLIN ST
ENGLEWOOD, NJ 07631-3616
Phone number: 917-776-8725
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