Phillips, Lisa S.

Phillips, Lisa S. is an individual health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1353. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Phillips, Lisa S. can be contacted via phone (516) 627-6624.

Contact Information

Primary practice address
100 Port Washington Blvd Roslyn NY 11576-1353
Phone: (516) 627-6624
Fax: (516) 627-3804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 209718 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 209718-1 New York

Profile Details

NPI number 1083610968
LBN Legal business name Phillips, Lisa S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 24th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083610968 NPPES
New York MEDICAID 01821732

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