Individual
LISA MARIE AMABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 LINCOLN AVE, ISLAND PARK, NY 11558-1323
(516) 204-5941
Mailing address
251 LINCOLN AVE, ISLAND PARK, NY 11558-1323
(516) 204-5941
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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