Healthcare Provider Details

I. General information

NPI: 1700701232
Provider Name (Legal Business Name): LIZA CABRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 PALMER AVE
BRONXVILLE NY
10708-3403
US

IV. Provider business mailing address

55 PALMER RD
YONKERS NY
10701-5850
US

V. Phone/Fax

Practice location:
  • Phone: 914-393-0911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberF359032
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberF359032
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF359032
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: