Malcomson, Lisa

Malcomson, Lisa is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Malcomson, Lisa can be contacted via phone (631) 473-1320.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 476-2791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 015244 New York

Profile Details

NPI number 1396167029
LBN Legal business name Malcomson, Lisa
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2014
Last updated Jan 15th, 2014 - about 12 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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