Pucciarelli, Lisa Ann
Pucciarelli, Lisa Ann is an sole proprietor health care provider with primary practice located at 3600 Route 112 , Coram NY 11727-4116. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pucciarelli, Lisa Ann can be contacted via phone (631) 920-8302.Contact Information
Primary practice address
3600 Route 112
Coram NY 11727-4116
Phone: (631) 920-8302
Fax: (631) 920-8462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1821424417 |
|---|---|
| LBN Legal business name | Pucciarelli, Lisa Ann |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2013 |
| Last updated | Sep 16th, 2013 - about 11 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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