Lisa Mistretta
NPI #1801366075 in North Babylon, New York
Provider Information
- NPI Number
- 1801366075
- Entity Type
- Individual
- Name
- Lisa Mistretta
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 30, 2018
- Last Updated
- Nov 30, 2018
Practice Location
- Address
- 83 HITHERDELL LN
- City
- North Babylon
- State
- New York
- ZIP Code
- 11703-5118
- Phone
- (631) 889-1686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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