Individual
LISA WEISBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4217 HEMPSTEAD TURNPIKE, BETHPAGE, NY 11714
(516) 520-6600
(516) 520-6750
Mailing address
4217 HEMPSTEAD TURNPIKE, BETHPAGE, NY 11714
(516) 520-6600
(516) 520-6750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
481204-1
NY
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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