Gilmore, Lisa

Gilmore, Lisa is an sole proprietor health care provider with primary practice located at 3959 Broadway , New York NY 10032-1559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Gilmore, Lisa can be contacted via phone (212) 305-8458.

Contact Information

Primary practice address
3959 Broadway New York NY 10032-1559
Phone: (212) 305-8458
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X F380564 New York

Profile Details

NPI number 1285754259
LBN Legal business name Gilmore, Lisa
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
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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