Petricone, Lise
Petricone, Lise is an sole proprietor health care provider with primary practice located at 21 Burd St , Nyack NY 10960-3205. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Petricone, Lise can be contacted via phone (845) 353-2350.Contact Information
Primary practice address
21 Burd St
Nyack NY 10960-3205
Phone: (845) 353-2350
Fax: (845) 353-2397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 009027-1 | New York |
Profile Details
| NPI number | 1760635668 |
|---|---|
| LBN Legal business name | Petricone, Lise |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2008 |
| Last updated | Jul 18th, 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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