Moore, Lisa

Moore, Lisa is an sole proprietor health care provider with primary practice located at 41 Cherry Ave , Holtsville NY 11742-1750. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moore, Lisa can be contacted via phone (631) 654-3561.

Contact Information

Primary practice address
41 Cherry Ave Holtsville NY 11742-1750
Phone: (631) 654-3561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1891056966
LBN Legal business name Moore, Lisa
Credentials MS ED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2012
Last updated Jun 22nd, 2012 - about 12 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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