Ganz, Lisa Deritis

Ganz, Lisa Deritis is an individual health care provider with primary practice located at 1400 Old Country Rd Ste C103N , Westbury NY 11590-5156. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ganz, Lisa Deritis can be contacted via phone (516) 806-6969.

Contact Information

Primary practice address
1400 Old Country Rd Ste C103N Westbury NY 11590-5156
Phone: (516) 806-6969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2854054 New York

Profile Details

NPI number 1033876016
LBN Legal business name Ganz, Lisa Deritis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2021
Last updated Nov 24th, 2021 - about 3 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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