Robb, Lisa

Robb, Lisa is an sole proprietor health care provider with primary practice located at 27 James P Kelly Way Apt 22 , Middletown NY 10940-9452. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Agencies / Early Intervention Provider Agency, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Robb, Lisa can be contacted via phone (845) 699-9040.

Contact Information

Primary practice address
27 James P Kelly Way Apt 22 Middletown NY 10940-9452
Phone: (845) 699-9040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 725806132 New York
Agencies / Early Intervention Provider Agency 252Y00000X 725806132 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 106520-1 New York

Profile Details

NPI number 1477909265
LBN Legal business name Robb, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2016
Last updated Jan 8th, 2021 - about 4 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 1477909265 NPPES
New York MEDICAID 1477909265

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