Lisa Siracusa RPA

NPI 1104072909 - Physician Assistant - 363AS0400X

NPI Details
NPI 1104072909
Gender Female
Enumeration Date 08/12/2008
Last Updated 08/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
305 SEGUINE AVE
SUITE TWO
STATEN ISLAND NY, 10309-3730, US
Phone (718) 966-7009
Fax (718) 948-7514
Business Location
305 SEGUINE AVE
SUITE TWO
STATEN ISLAND NY, 10309-3730, US
Phone (718) 966-7009
Fax (718) 948-7514
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 004641
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According to our database, Ms. Lisa Siracusa RPA NPI is 1104072909, taxonomy code is 363AS0400X and license number is 004641, license state is located at New York. Lisa Siracusa RPA physically located at 305 Seguine Ave, Staten Island NY, 10309-3730. NPI Number Lisa Siracusa RPA has the Individual type.

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1104072909 NPI number is provided on an as is basis without warranty of any kind. 1104072909 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Siracusa RPA are for informational purposes only.