Hodge-Scelsa, Lisa Michelle

Hodge-Scelsa, Lisa Michelle is an individual health care provider with primary practice located at 77 Medford Ave Route 112, Patchogue NY 11772-1281. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Hodge-Scelsa, Lisa Michelle can be contacted via phone (631) 758-4444.

Contact Information

Primary practice address
77 Medford Ave Route 112 Patchogue NY 11772-1281
Phone: (631) 758-4444
Fax: (631) 758-1984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F301157 New York

Profile Details

NPI number 1104922244
LBN Legal business name Hodge-Scelsa, Lisa Michelle
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Aug 16th, 2010 - about 14 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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