Martin, Lisa

Martin, Lisa is an sole proprietor health care provider with primary practice located at 161 Pond View Dr , Port Washington NY 11050-2468. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Martin, Lisa can be contacted via phone (516) 570-6995.

Contact Information

Primary practice address
161 Pond View Dr Port Washington NY 11050-2468
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1477022929
LBN Legal business name Martin, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2018
Last updated Nov 14th, 2018 - about 6 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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