Individual
MRS. ANGELA MARIA LIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
63 DOWNING ST, NEW YORK, NY 10014-4331
(212) 255-6690
(212) 255-6754
Mailing address
955 S SPRINGFIELD AVE, PARK PLACE #806, SPRINGFIELD, NJ 07081-3543
(212) 568-1552
(212) 255-6754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022758
NY
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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