Williams, Lisa Susan

Williams, Lisa Susan is an individual health care provider with primary practice located at 76 Southaven Ave Ste 5 , Medford NY 11763-3745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Williams, Lisa Susan can be contacted via phone (631) 447-8860.

Contact Information

Primary practice address
76 Southaven Ave Ste 5 Medford NY 11763-3745
Phone: (631) 447-8860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 309193 New York

Profile Details

NPI number 1487216743
LBN Legal business name Williams, Lisa Susan
Credentials AGPCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2019
Last updated Jul 7th, 2019 - about 5 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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