Brown, Lisa

Brown, Lisa is an individual health care provider with primary practice located at 229 Mill Rd , Holbrook NY 11741-1020. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Brown, Lisa can be contacted via phone (631) 588-0508.

Contact Information

Primary practice address
229 Mill Rd Holbrook NY 11741-1020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 49392 New York

Profile Details

NPI number 1871912568
LBN Legal business name Brown, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2014
Last updated Apr 10th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871912568 NPPES
Other 49392 SPECIAL EDUCATION TEACHER/EARLY INTERVENTION
Other 49492 SPECIAL EDUCATION TEACHER/EARLY INTERVENTION
MEDICAID 49392 SPECIAL EDUCATION TEACHER/EARLY INTERVENTION

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