Lisa

NPI #1174073696 in Nanuet, New York

Provider Information

NPI Number: 1174073696
Entity Type: Organization
Organization Name: Lisa
Primary Specialty: Home Health
Enumeration Date: Oct 7, 2016
Last Updated: Oct 7, 2016

Practice Location

Address: 4 OLIN DR
City: Nanuet
State: New York
ZIP Code: 10954-4522
Phone: (646) 271-7796

Authorized Official

Name: LISA MONTALVO
Title: RN
Phone: (646) 271-7796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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