Individual
MS. LISA MARIE MONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 MORRISON AVE, STATEN ISLAND, NY 10310-2943
(917) 282-3928
Mailing address
133 MORRISON AVE, STATEN ISLAND, NY 10310-2943
(917) 282-3928
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
3562870
NY
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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