Mildeberger, Lisa
Mildeberger, Lisa is an sole proprietor health care provider with primary practice located at 3375 Park Ave. Suite 3008, Wantagh NY 11793. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mildeberger, Lisa can be contacted via phone (718) 986-3847.Contact Information
Primary practice address
3375 Park Ave. Suite 3008
Wantagh NY 11793
Phone: (718) 986-3847
Fax: (516) 804-6232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 001776 | New York |
Profile Details
| NPI number | 1922217959 |
|---|---|
| LBN Legal business name | Mildeberger, Lisa |
| Credentials | MS, CRC, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | May 2nd, 2014 - about 10 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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