Individual
MS. LISA CORDARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
5 SQUIRETOWN RD, HAMPTON BAYS, NY 11946-2011
(631) 728-5300
(631) 728-5360
Mailing address
5 SQUIRETOWN RD, HAMPTON BAYS, NY 11946-2011
(631) 728-5300
(631) 728-5360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR15982000
NJ
163W00000X
Registered Nurse
307465-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382436-1
NY
Other
Enumeration date
07/23/2013
Last updated
11/21/2019
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