IndividualActive
Liz Dejesus, RN
NPI 1447761648 · Methadone Clinic · Valley Cottage, NY
Provider details
- NPI number
- 1447761648
- Entity type
- Individual
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 703033 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
706 Executive Blvd Ste D
Valley Cottage, NY 10989-2039
Phone: (845) 362-3904
Approximate (ZIP-level) locationGet directions
Mailing address
12 High Ridge Rd
Stony Point, NY 10980-2710
Registry dates
- Enumerated
- 2017-10-16
- Last updated
- 2017-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.