Individual
LISA E SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 S FRANKLIN AVE, 3, VALLEY STREAM, NY 11580
(516) 303-9925
Mailing address
6716 PARSONS BLVD APT 4B, FLUSHING, NY 11365-2958
(718) 404-3106
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
P111168
NY
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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