BETSY DORIA LILJEBERG


Address: 1427 Genesee St, Utica, NY 13501-4343
Phone: 3157381428

BETSY DORIA LILJEBERG (NPI# 1487606885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487606885
Entity Type Individual
Full Name BETSY DORIA LILJEBERG
Credential PSYNP
Practice Address 1427 Genesee St
Utica
NY 13501-4343
Mailing Address 1020 Mary St
Utica
NY 13501-1930
Practice Telephone 3157381428
Practice Fax Number 3157381461
Mailing Telephone 3157246907
Mailing Fax Number 3157330791
Enumeration Date 2006-05-16
Last Update Date 2008-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F400834-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01039156 05
NY 00474180 05

Office Location

Street Address 1427 GENESEE ST
City UTICA
State NY
Zip Code 13501-4343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780635482 Rosario Bellassai Social Worker 1427 Genesee St, Utica, NY 13501-4343 2006-05-15
1750995213 Danielle Erin Mcdonough Counselor 1427 Genesee St, Utica, NY 13501-4343 2020-09-02
1649831603 Meghan Mcdonough Marriage & Family Therapist 1427 Genesee St, Utica, NY 13501-4343 2019-06-21
1447817150 Sarah Marie Murphy Social Worker 1427 Genesee St, Utica, NY 13501-4343 2019-05-29
1831755693 Donna Marie Saville Registered Nurse 1427 Genesee St, Utica, NY 13501-4343 2019-05-16
1790261360 Melissa Conaway Social Worker 1427 Genesee St, Utica, NY 13501-4343 2018-07-17
1467859686 Kelly Egresits Social Worker 1427 Genesee St, Utica, NY 13501-4343 2014-12-03
1023418605 Joshua Burgess Social Worker 1427 Genesee St, Utica, NY 13501-4343 2014-09-02
1588095384 Lindsey Gilchrist Nurse Practitioner 1427 Genesee St, Utica, NY 13501-4343 2013-12-03
1033548391 Brittany Todd Counselor 1427 Genesee St, Utica, NY 13501-4343 2013-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700349248 Maria Kuehl Student in an Organized Health Care Education/Training Program 120 Hobart Street, Residency Program, Utica, NY 13501 2019-04-11
1497237622 Bobs Pharmacy LLC Durable Medical Equipment & Medical Supplies 430 Bleecker St, Utica, NY 13501 2018-09-04
1528565421 Michele Della Gala Social Worker 1427 Genesee Street, Utica, NY 13501 2018-04-09
1295274884 Sheila Denita Boyd Licensed Practical Nurse 505 Mary Street, Utica, NY 13501 2017-02-16
1770034993 Curry Mcmahon Massage Therapist 2707 Genesee St, Utica, NY 13501 2016-10-24
1689123614 Angelica Pascone Martin Physician Assistant 2215 Genesee St., Utica, NY 13501 2016-10-03
1942673942 Krista Lee Klopotek Registered Nurse 1151 Albany Street, Albany Elementary School, Utica, NY 13501 2015-11-12
1841618089 Katherine Macaulay Lucey Social Worker 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 2014-04-04
1578809067 Laurie A Baker Social Worker 2307 Genesee St, Utica, NY 13501 2013-01-02
1104170505 Amanda Knoeller Social Worker 683 Mary Street, Utica, NY 13501 2012-11-07
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194126771 Patricia Alice Roach Nurse Practitioner 1500 Genesee St, Utica, NY 13502-5104 2014-09-15
1497063978 Amy Lukacz Nurse Practitioner 502 Court St, 204, Utica, NY 13502-4233 2010-09-19
1033234943 Cynthia A Altieri Nurse Practitioner 1400 Noyes St, Utica, NY 13502-3854 2007-03-20
1114042025 Cheryl A Meyers Nurse Practitioner 1400 Noyes St, Utica, NY 13502-3854 2007-03-20
1730204645 Cathi-anne Totaro Nurse Practitioner 1400 Noyes St, Utica, NY 13502-3854 2007-03-20
1316955214 Benedetta M Melnick Nurse Practitioner 1427 Genesee St, Utica, NY 13501-4343 2006-08-04
1770536898 Sylvia Adel Redmond Nurse Practitioner 1427 Genesee St, Utica, NY 13501-4343 2006-05-18
1083604938 Ellen Karwacki Nurse Practitioner 2209 Genesee St, Utica, NY 13501-5930 2005-10-24

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1619578366 Jecinter L Otieno Nurse Practitioner 195 Hillside Dr, Oneonta, NY 13820-3611 2020-11-07
1073113833 Natalie Grant-villegas Nurse Practitioner 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 2020-10-29
1780284869 Mary Gwynne Tillotson Nurse Practitioner 82 Oxford Ave, Buffalo, NY 14209-1406 2020-10-28
1780284273 Angela Abramov Nurse Practitioner 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 2020-10-26
1407455967 Marie J. Schwarz, Npp-bc PC Nurse Practitioner 133 E Main St Ste 3h, Babylon, NY 11702-3517 2020-10-25
1720687015 Ashley Winn Nurse Practitioner 367 E Chester St, Long Beach, NY 11561-2324 2020-10-19
1114525961 Tanya Monique Sydnor Holmes Nurse Practitioner 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 2020-10-14
1669079976 Mary Lynn Good Nurse Practitioner 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 2020-10-08
1376140277 Megan Elizabeth Bhatti Nurse Practitioner 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 2020-10-04
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City UTICA
Zip Code 13501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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