Individual
MS. LISA DIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED.
Contact information
Practice address
2 BETHLEHEM CT, DELMAR, NY 12054-1306
(518) 478-0722
Mailing address
2 BETHLEHEM CT, DELMAR, NY 12054-1306
(518) 478-0722
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
491330
NY
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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