Individual
LISA DESILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2188 PITKIN AVE, BROOKLYN, NY 11207-3613
(718) 345-0100
Mailing address
1606 PRESIDENT ST, 2, BROOKLYN, NY 11213-4727
(347) 296-9865
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1639548183
NY
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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