Individual
LIAN LISNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1682034231
NY
Other
Enumeration date
07/26/2023
Last updated
07/27/2023
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