Robin Lee Lisanti LCSWR

NPI 1629143847 - Social Worker - 1041C0700X

NPI Details
NPI 1629143847
Gender Female
Enumeration Date 11/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4577 NESCONSET HWY
PORT JEFFERSON STATION NY, 11776-2626, US
Phone (631) 473-2855
Fax (631) 473-2855
Business Location
19 GRANDVIEW BLVD
MILLER PLACE NY, 11764-1614, US
Phone (631) 473-2855
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number R049505-1
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According to our database, Robin Lee Lisanti LCSWR NPI is 1629143847, taxonomy code is 1041C0700X and license number is R049505-1, license state is located at New York. Robin Lee Lisanti LCSWR physically located at 4577 Nesconset Hwy, Port Jefferson Station NY, 11776-2626. NPI Number Robin Lee Lisanti LCSWR has the Individual type.

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1629143847 NPI number is provided on an as is basis without warranty of any kind. 1629143847 is maintained by the National Plan & Provider Enumeration System. The contents of Robin Lee Lisanti LCSWR are for informational purposes only.