Ambrose, Lisa

Ambrose, Lisa is an individual health care provider with primary practice located at 4 Technology Dr Suite 120, East Setauket NY 11733-4080. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ambrose, Lisa can be contacted via phone (631) 246-8289.

Contact Information

Primary practice address
4 Technology Dr Suite 120 East Setauket NY 11733-4080
Phone: (631) 246-8289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F307463-1 New York

Profile Details

NPI number 1902279029
LBN Legal business name Ambrose, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Jan 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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