Ciccone, Lisa Marie

Ciccone, Lisa Marie is an individual health care provider with primary practice located at 319 Broadway , Port Ewen NY 12466-5501. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ciccone, Lisa Marie can be contacted via phone (845) 339-8707.

Contact Information

Primary practice address
319 Broadway Port Ewen NY 12466-5501
Phone: (845) 339-8707
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 095647 New York

Profile Details

NPI number 1548784762
LBN Legal business name Ciccone, Lisa Marie
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2017
Last updated Jul 30th, 2017 - about 7 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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