Molluso, Lisa

Molluso, Lisa is an sole proprietor health care provider with primary practice located at 16 Station Rd Suite 7, Bellport NY 11713-2449. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Molluso, Lisa can be contacted via phone (631) 338-5617.

Contact Information

Primary practice address
16 Station Rd Suite 7 Bellport NY 11713-2449
Fax: (631) 758-2858
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R072825 New York

Profile Details

NPI number 1669543732
LBN Legal business name Molluso, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2006
Last updated Jul 13th, 2012 - about 13 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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