Individual
MRS. LISA B. MANIATIS-FITTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ANP-C
Contact information
Practice address
360 WASHINGTON AVE., ROOSEVELT, NY 11575
(516) 378-2000
Mailing address
2377 SYCAMORE AVE, WANTAGH, NY 11793-4413
(516) 734-7000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003468-1
NY
363LA2200X
Adult Health Nurse Practitioner
F307507-1
NY
Other
Enumeration date
11/24/2008
Last updated
08/31/2016
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