Individual
MS. LISA MARIE MUSCARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 NORTHERN BLVD, SUITE 102, ROSLYN, NY 11576-1514
(516) 801-6959
Mailing address
1044 NORTHERN BLVD, SUITE 102, ROSLYN, NY 11576-1514
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305883
NY
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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