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Organization
LISABERKINC
Active
Organization
LISABERKINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ANNE CIOCI MSED (PRESIDENT)
(516) 729-0232
Entity
Organization
Contact information
Practice address
190 PARK LN, MASSAPEQUA, NY 11758-4311
(516) 729-0232
Mailing address
190 PARK LN, MASSAPEQUA, NY 11758-4311
(516) 729-0232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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