Foresto, Lisa Ann

Foresto, Lisa Ann is an individual health care provider with primary practice located at 444 Community Dr. Suite # 306, Manhasset NY 11030. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Foresto, Lisa Ann can be contacted via phone (516) 512-1574.

Contact Information

Primary practice address
444 Community Dr. Suite # 306 Manhasset NY 11030
Phone: (516) 512-1574
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 016851 New York

Profile Details

NPI number 1013071786
LBN Legal business name Foresto, Lisa Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013071786 NPPES
New York MEDICAID 00246075

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