Individual
MS. LISA SALANDRA-BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, APN-C
Contact information
Practice address
350 ENGLE ST, EHMC, ENGLEWOOD, NJ 07631
(877) 273-2782
Mailing address
99 ROSE AVE, WOODCLIFF LAKE, NJ 07677
(201) 925-0123
(201) 307-1016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00328800
NJ
363L00000X
Nurse Practitioner
F305661-1
NY
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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