Individual
LISA ELAINE FARET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TVI
Contact information
Practice address
300 GARDEN CITY PLZ, GARDEN CITY, NY 11530-3302
(516) 747-9030
Mailing address
167 HOMER AVE, DEER PARK, NY 11729-2510
(631) 586-4315
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
NY
Other
Enumeration date
06/20/2007
Last updated
07/21/2022
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