Provider Demographics
NPI:1205517380
Name:ESPINAL, LIZZIE (MASTERS)
Entity type:Individual
Prefix:MRS
First Name:LIZZIE
Middle Name:
Last Name:ESPINAL
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 LIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-1662
Mailing Address - Country:US
Mailing Address - Phone:973-223-3911
Mailing Address - Fax:
Practice Address - Street 1:70 LIDGE DR
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-1662
Practice Address - Country:US
Practice Address - Phone:973-223-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator