Reisner, Lisa Dawn

Reisner, Lisa Dawn is an individual health care provider with primary practice located at 1869 Brentwood Road , Brentwood NY 11717. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Reisner, Lisa Dawn can be contacted via phone (631) 853-3400.

Contact Information

Primary practice address
1869 Brentwood Road Brentwood NY 11717
Phone: (631) 853-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 005739 New York

Profile Details

NPI number 1194825695
LBN Legal business name Reisner, Lisa Dawn
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Aug 10th, 2010 - about 16 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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