Schirripa, Lisa

Schirripa, Lisa is an individual health care provider with primary practice located at 260 Middle Country Rd Ste 104, Smithtown NY 11787. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Schirripa, Lisa can be contacted via phone (631) 724-1166.

Contact Information

Primary practice address
260 Middle Country Rd Ste 104 Smithtown NY 11787
Phone: (631) 724-1166
Fax: (631) 724-4130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N5479 New York

Profile Details

NPI number 1619067899
LBN Legal business name Schirripa, Lisa
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Dec 9th, 2008 - about 16 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 1619067899 NPPES
New York MEDICAID 02238535
New York Other 0333853002
New York Other 113507
New York Other 214480P
New York Other 1882600
New York Other 2C9219
New York Other P3916300
New York Other PM3321
New York Other 2846010
New York Other 6C7211
New York Other P2194992
New York Other PH0131
New York Other 0406815

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