Individual
MS. LISA MICHELLE HODGE-SCELSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
77 MEDFORD AVE, ROUTE 112, PATCHOGUE, NY 11772-1281
(631) 758-4444
(631) 758-1984
Mailing address
280 MONTAUK HWY, PO BOX 9182, BAY SHORE, NY 11706-8403
(631) 758-4444
(631) 758-1984
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301157
NY
Other
Enumeration date
09/16/2006
Last updated
08/16/2010
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