Organization
LISA A NELSON NP-PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NELSON NP (OWNER)
(516) 639-5109
Entity
Organization
Contact information
Practice address
3771 NESCONSET HWY, SUITE 212, SOUTH SETAUKET, NY 11720-1163
(631) 689-5390
(631) 689-5395
Mailing address
3771 NESCONSET HWY, SUITE 212, SOUTH SETAUKET, NY 11720-1163
(631) 689-5390
(631) 689-5395
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
F401077
NY
Other
Enumeration date
04/02/2015
Last updated
03/07/2016
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