Blackwell, Lisa C

Blackwell, Lisa C is an sole proprietor health care provider with primary practice located at 400 Lake Ave , Staten Island NY 10303-2629. She recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Early Intervention Provider Agency. Agencies / Case Management is her primary health care specialty. Blackwell, Lisa C can be contacted via phone (718) 816-3481.

Contact Information

Primary practice address
400 Lake Ave Staten Island NY 10303-2629
Phone: (718) 816-3481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1225435373
LBN Legal business name Blackwell, Lisa C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2014
Last updated Dec 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers