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NPI Code Detail

MEDICARE: LIZZET CABAN

MEDICARE: LIZZET CABAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse2274391NY

General Provider Information

NPI Number : 1518322387
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZZET CABAN
Provider Business Mailing Address
First Line : 595 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5239
Country : US
Telephone Number : 929-348-4598
Fax Number :
Provider Business Practice Location Address
First Line : 595 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5239
Country : US
Telephone Number : 929-348-4598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2015
Last Update Date : 12/22/2015

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Directions to “ LIZZET CABAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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