Williams-Busillo, Lisa

Williams-Busillo, Lisa is an individual health care provider with primary practice located at 300 Community Dr , Manhasset NY 11030-3816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Williams-Busillo, Lisa can be contacted via phone (516) 562-4887.

Contact Information

Primary practice address
300 Community Dr Manhasset NY 11030-3816
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 195027 New York

Profile Details

NPI number 1871598177
LBN Legal business name Williams-Busillo, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Nov 4th, 2009 - about 15 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 1871598177 NPPES
New York MEDICAID 02092024

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