Individual
LISA BETH SPOSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
150 SUNNYSIDE BLVD, PLAINVIEW, NY 11803-1504
(888) 982-8594
(888) 920-1525
Mailing address
21 BREWSTER AVE, FORT SALONGA, NY 11768-2616
(631) 807-4802
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03875183
—
NY
Enumeration date
04/19/2006
Last updated
03/20/2025
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