Individual
MRS. LISA MARIE DENISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4 PATRICIAN CT., EAST NORTHPORT, NY 11731
(631) 261-1036
(516) 731-1306
Mailing address
4 PATRICIAN CT., EAST NORTHPORT, NY 11731
(631) 261-1036
(516) 731-1306
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
022371
NY
Other
Enumeration date
04/09/2007
Last updated
03/23/2015
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