Individual
LISA LAROSSA HAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
316 E 88TH ST, NEW YORK, NY 10128-4909
(212) 534-3656
Mailing address
13 KENT PL, COS COB, CT 06807-2025
(203) 869-8350
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
007247
NY
Other
Enumeration date
10/06/2010
Last updated
01/13/2012
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