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Individual

AMIRA LISLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1101 STEWART AVE STE 100, GARDEN CITY, NY 11530-4833
(516) 234-6158
Mailing address
1983 MARCUS AVE STE 119, NEW HYDE PARK, NY 11042-1016
(516) 321-7526
(516) 321-7832

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NY

Other

Enumeration date
10/08/2021
Last updated
10/08/2021
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