Cantara, Lisa Marie

Cantara, Lisa Marie is an individual health care provider with primary practice located at 100 Nicolls Rd Sbu, Isc, Stony Brook NY 11794-3500. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Cantara, Lisa Marie can be contacted via phone (631) 632-7709.

Contact Information

Primary practice address
100 Nicolls Rd Sbu, Isc Stony Brook NY 11794-3500
Phone: (631) 632-7709
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 297-1 New York

Profile Details

NPI number 1093778904
LBN Legal business name Cantara, Lisa Marie
Credentials MS, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 8th, 2007 - about 17 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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