Harrell-Delamater, Lisa M

Harrell-Delamater, Lisa M is an individual health care provider with primary practice located at 600 E Genesee St Suite 217, Syracuse NY 13202-3130. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harrell-Delamater, Lisa M can be contacted via phone (315) 422-0300.

Contact Information

Primary practice address
600 E Genesee St Suite 217 Syracuse NY 13202-3130
Phone: (315) 422-0300
Fax: (315) 479-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009874 New York

Profile Details

NPI number 1427195320
LBN Legal business name Harrell-Delamater, Lisa M
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427195320 NPPES
New York MEDICAID 02426460

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