Individual
LEE MARI PENNISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 IVY COVERED WAY, MOUNT SINAI, NY 11766
(631) 509-4835
(631) 509-4831
Mailing address
6 IVY COVERED WAY, MOUNT SINAI, NY 11766-2729
(631) 509-4835
(631) 509-4831
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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