Lisette Dipasquale

NPI #1396286282 in North Bellmore, New York

Provider Information

NPI Number: 1396286282
Entity Type: Individual
Name: Lisette Dipasquale
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 13, 2017
Last Updated: Mar 13, 2017

Practice Location

Address: 1016 BELLMORE RD
City: North Bellmore
State: New York
ZIP Code: 11710-3717
Phone: (631) 513-3991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Early Intervention Provider Agency	252Y00000X

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