ELIZABETH VILLAVICENCIO

STATEN ISLAND, NY
NPI1790772010
Former NameELIZABETH FLINT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  F3814531)
Enumeration Date2005-10-03
Last Update Date2012-11-09
Business Address
-- ELIZABETH VILLAVICENCIO Nurse Pract
347 EDISON ST
STATEN ISLAND, NY 10306-3034
Phone number: 718-351-1136
Mailing Address
-- ELIZABETH VILLAVICENCIO Nurse Pract
2031 FOREST AVE
STATEN ISLAND, NY 10303-1796
Phone number:
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