ALIZA BLACK

ENGLEWOOD, NJ
NPI1417387572
Former NameALIZA BERKOWITZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  017080)
Enumeration Date2013-11-26
Last Update Date2021-04-26
Business Address
ALIZA BLACK
78 FRANKLIN ST
ENGLEWOOD, NJ 07631-3616
Phone number: 917-776-8725
Mailing Address
ALIZA BLACK
78 FRANKLIN ST
ENGLEWOOD, NJ 07631-3616
Phone number: 917-776-8725