Ciulla, Lisa

Ciulla, Lisa is an individual health care provider with primary practice located at 500 Leonard Blvd , New Hyde Park NY 11040-3933. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ciulla, Lisa can be contacted via phone (516) 488-9555.

Contact Information

Primary practice address
500 Leonard Blvd New Hyde Park NY 11040-3933
Phone: (516) 488-9555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1215206073
LBN Legal business name Ciulla, Lisa
Credentials M.S.ED, NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2011
Last updated Dec 23rd, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215206073 NPPES
New York MEDICAID 01378665

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