MRS. LIZ S DEJESUS RN
NPI 1447761648
Clinic/Center - Methadone in Valley Cottage, NY

Active since October 16, 2017
706 EXECUTIVE BLVD STE D, VALLEY COTTAGE, NY 10989(845) 362-3904 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Liz S Dejesus Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LIZ S DEJESUS RN (NPI 1447761648) is an individual methadone provider in Valley Cottage, New York, licensed in New York (703033) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1447761648
Entity TypeIndividualFemale
Primary Taxonomy261QM2800X
Provider Legal NameMRS. LIZ S DEJESUSCredential: RN
Location Address706 EXECUTIVE BLVD STE DValley Cottage, NY 10989-2039
Mailing Address12 High Ridge RdStony Point, NY 10980-2710 · (646) 271-0750
Sole ProprietorYes
Enumeration DateOctober 16, 2017
NPI 1447761648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License Licensed in NY · 703033
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

706 EXECUTIVE BLVD STE D, Valley Cottage, NY 10989

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Addiction Medicine)
706 EXECUTIVE BLVD STE D
VALLEY COTTAGE, NY 10989
Counselor (Mental Health)
706 EXECUTIVE BLVD STE D
VALLEY COTTAGE, NY 10989
Licensed Practical Nurse
706 EXECUTIVE BLVD STE D
VALLEY COTTAGE, NY 10989
Registered Nurse (Addiction (Substance Use Disorder))
706 EXECUTIVE BLVD STE D
VALLEY COTTAGE, NY 10989
Counselor (Mental Health)
706 EXECUTIVE BLVD STE D
VALLEY COTTAGE, NY 10989
Peer Specialist
706 EXECUTIVE BLVD STE D
VALLEY COTTAGE, NY 10989
Registered Nurse (Addiction (Substance Use Disorder))
706 EXECUTIVE BLVD STE D
VALLEY COTTAGE, NY 10989
Registered Nurse (Addiction (Substance Use Disorder))
706 EXECUTIVE BLVD STE D
VALLEY COTTAGE, NY 10989

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liz Dejesus's NPI number?

The NPI number for Liz Dejesus is 1447761648. It was assigned to this individual provider in the NPPES registry on October 16, 2017.

Where is Liz Dejesus located?

Liz Dejesus practices at 706 Executive Blvd Ste D, Valley Cottage, NY 10989. The listed phone number is (845) 362-3904.

What is Liz Dejesus's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Liz Dejesus was last updated on October 16, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.