Individual
DR. LISA A DECLEMENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10 SHERIDAN SQ, NEW YORK, NY 10014-6824
(212) 242-6592
(212) 691-3262
Mailing address
10 SHERIDAN SQ, NEW YORK, NY 10014-6824
(212) 242-6592
(212) 691-3262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006687
NY
Other
Enumeration date
04/20/2007
Last updated
07/30/2012
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