Individual
LISA ILENE DESIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 EVERETT RD, CARMEL, NY 10512-2002
(845) 531-3014
Mailing address
40 EVERETT RD, CARMEL, NY 10512-2002
(845) 531-3014
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
980660151
NY
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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