NPI Code Details Logo

NPI 1104760974

NPI 1104760974 : SARAH M LIZ : TENAFLY, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104760974
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SARAH M LIZ
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/14/2026
-----------------------------------------------------
    Last Update Date     |    04/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2 WASHINGTON ST # 2A 
-----------------------------------------------------
    City                 |    TENAFLY
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07670-2083
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-568-5711
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    103 RAY ST FL 2 
-----------------------------------------------------
    City                 |    GARFIELD
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07026-3736
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    133N00000X
-----------------------------------------------------
    Taxonomy Name        |    Nutritionist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.