Modesto, Lisa Maria

Modesto, Lisa Maria is an sole proprietor health care provider with primary practice located at 10933 71St Rd Suite 2 C, Forest Hills NY 11375-4867. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Modesto, Lisa Maria can be contacted via phone (718) 261-3366.

Contact Information

Primary practice address
10933 71St Rd Suite 2 C Forest Hills NY 11375-4867
Phone: (718) 261-3366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV007078 New York

Profile Details

NPI number 1598879637
LBN Legal business name Modesto, Lisa Maria
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Feb 27th, 2008 - about 16 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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