# LISA MENNELLA CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558729624
- **Authorized official:** MS. LISA MARGARET MENNELLA MS (TEACHER OF THE BLIND & V.I.)
- **Authorized official phone:** (917) 658-1555

## Contact information

- **Practice address:** 459 COLUMBUS AVE, \#164, NEW YORK, NY 10024-5129
- **Practice address phone:** (917) 658-1555
- **Mailing address:** 459 COLUMBUS AVE, \#164, NEW YORK, NY 10024-5129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2016
- **Last updated:** 02/04/2016