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
Phone: (631) 338-5617
Fax: (631) 758-2858
Website:
Health care specialties
Specialty | Code | License # | 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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