Lisa Cornell

NPI 1770989899 - Specialist - 174400000X

NPI Details
NPI 1770989899
Gender Female
Enumeration Date 11/17/2014
Last Updated 11/17/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
54 BROWN BLVD
WHEATLEY HTS NY, 11798-1520, US
Phone (631) 478-2262
Fax
Business Location
54 BROWN BLVD
WHEATLEY HTS NY, 11798-1520, US
Phone (631) 478-2262
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 884126141
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According to our database, Lisa Cornell NPI is 1770989899, taxonomy code is 174400000X and license number is 884126141, license state is located at New York. Lisa Cornell physically located at 54 Brown Blvd, Wheatley Hts NY, 11798-1520. NPI Number Lisa Cornell has the Individual type.

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1770989899 NPI number is provided on an as is basis without warranty of any kind. 1770989899 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Cornell are for informational purposes only.