Individual
ANTONINA LISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 N CENTRE AVE STE 310, ROCKVILLE CENTRE, NY 11570-3923
(516) 740-1950
Mailing address
3962 EVE DR, SEAFORD, NY 11783-1553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130638
NY
Other
Enumeration date
01/28/2026
Last updated
03/03/2026
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