Healthcare Provider Details

I. General information

NPI: 1871481200
Provider Name (Legal Business Name): LIZA BILLINGS RN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10420 68TH DR APT B56
FOREST HILLS NY
11375-3467
US

IV. Provider business mailing address

10420 68TH DR APT B56
FOREST HILLS NY
11375-3467
US

V. Phone/Fax

Practice location:
  • Phone: 516-220-8507
  • Fax:
Mailing address:
  • Phone: 516-220-8507
  • Fax: 516-220-8507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number646297
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: