Elizabeth Antezana, MS SP ED.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

5440 Little Neck Pkwy
Apt 1T
Little Neck, NY 11362-2200

Phone

(917) 601-4071

NPI assigned

Mar 4, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Elizabeth Luyando Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1487079158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 LITTLE NECK PKWY",
            "address_2": "APT 1T",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622200",
            "telephone_number": "917-601-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 LITTLE NECK PKWY",
            "address_2": "APT 1T",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622200",
            "telephone_number": "917-601-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTEZANA",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS SP ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LUYANDO",
            "prefix": "MISS",
            "credential": "MS SP ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Specialist in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.