Lizmar Brosnan, RN
Individual provider Active NPI Registered Nurse · Oakland Gardens, NY
NPI 1699324541 · NPPES record last updated Sep 4, 2019
Key facts
- NPI
- 1699324541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 705108 (NY)
- Practice address
- 6942 218TH St
Oakland Gardens, NY 11364-2635 - Phone
- (917) 833-4499
- NPI assigned
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 705108 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 705108 | NY | Yes |
Addresses
Primary practice location
6942 218TH St
Oakland Gardens, NY 11364-2635
Mailing address
6942 218TH St
Oakland Gardens, NY 11364-2635
Phone (917) 833-4499
Other providers in Oakland Gardens, NY
- Bruce Michael Bieber
- Ludmila Birk
- Harry Blaustein
- Ellen C Bodner
- BP Dental Solutions PC
- Robert M Bullock
- Finela Daedre Pua Cabanding
- Kathleen Caltabiano
- Yifan Cao
- Zarina Cara
All providers in Oakland Gardens, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.