Wisel, Lisa Marie

Wisel, Lisa Marie is an sole proprietor health care provider with primary practice located at 410 E Broadway Number 2T, Long Beach NY 11561-4446. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wisel, Lisa Marie can be contacted via phone (516) 431-8788.

Contact Information

Primary practice address
410 E Broadway Number 2T Long Beach NY 11561-4446
Fax: (516) 431-8788
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 000708 New York

Profile Details

NPI number 1265643860
LBN Legal business name Wisel, Lisa Marie
Credentials MS,ADTR-LCAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 17 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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