Liberto, Ilyssa

Liberto, Ilyssa is an individual health care provider with primary practice located at 1 Bartol Ave Ste 100 , Ridley Park PA 19078-2214. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Liberto, Ilyssa can be contacted via phone (610) 521-9996.

Contact Information

Primary practice address
1 Bartol Ave Ste 100 Ridley Park PA 19078-2214
Phone: (610) 521-9996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1437933298
LBN Legal business name Liberto, Ilyssa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2023
Last updated Apr 16th, 2024 - about 2 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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