Individual
MRS. LISA MICHELE MONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MONTAUK HWY, SUITE 152, BABYLON, NY 11702-3012
(631) 669-7098
Mailing address
29 PINEWOOD DRIVE, COMMACK, NY 11725
(631) 499-1237
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
021059
NY
235Z00000X
Speech-Language Pathologist
756228994
NY
Other
Enumeration date
09/09/2010
Last updated
01/30/2017
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