Doctor Name: | MS. LISA BRZEZINSKI |
NPI Number: | 1245622976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00556600 |
Business Practice Address: | 714 10th St Secaucus, NJ - 070942921 |
Business Phone Number: | 2015522256 |
Business Fax Number: | |
Mailing Address: | 225 Grand St Apt 436, JERSEY CITY |
State: | NJ |
Postal Code: | 073027444 |
Phone Number: | 7328410219 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2015 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 26NJ00556600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |