Individual
MRS. LISA JILL DEBLASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
100 HAUPPAUGE RD, COMMACK, NY 11725-4403
(631) 499-0915
Mailing address
31 WOOD HOLLOW LN, NORTHPORT, NY 11768-2735
(631) 269-4294
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
390006-1
NY
163WG0000X
General Practice Registered Nurse
Primary
390006-1
NY
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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