Individual
GINA LUCIEN-LISSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1 PENN PLZ, 8TH FL, NEW YORK, NY 10119-0002
(917) 583-7878
(866) 491-2280
Mailing address
656 LENOX RD, NORTH BALDWIN, NY 11510-1019
(516) 771-3756
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302642
NY
Other
Enumeration date
12/07/2005
Last updated
01/22/2016
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