Komnik, Lisa Marie

Komnik, Lisa Marie is an sole proprietor health care provider with primary practice located at 100 Nicholls Road Sports Complex G33 , Stony Brook NY 11794-2325. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Komnik, Lisa Marie can be contacted via phone (631) 632-7164.

Contact Information

Primary practice address
100 Nicholls Road Sports Complex G33 Stony Brook NY 11794-2325
Phone: (631) 632-7164
Fax: (631) 632-7210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000038-1 New York

Profile Details

NPI number 1881669505
LBN Legal business name Komnik, Lisa Marie
Credentials MSC, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Sep 10th, 2020 - about 6 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