Individual
MRS. LISA S. NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED
Contact information
Practice address
12 LOCUST LN, SYOSSET, NY 11791-4832
(516) 921-1020
(516) 921-1020
Mailing address
12 LOCUST LN, SYOSSET, NY 11791-4832
(516) 921-1020
(516) 921-1020
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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