Individual
LISA ZACCARINI TANGREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2101 ALLAN AVE, YORKTOWN HTS, NY 10598-4032
(914) 924-4514
Mailing address
2101 ALLAN AVE, YORKTOWN HTS, NY 10598-4032
(914) 924-4514
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
013643
NY
Other
Enumeration date
05/05/2009
Last updated
10/17/2014
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