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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA MICHELLE BERRY, FNP-BC

Active Sole Proprietor

MRS. LISA MICHELLE BERRY, FNP-BC is a Family Medicine healthcare provider located in MANORVILLE, New York. NPI 1144007279 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MANORVILLE, NY

Registration Details

NPI Number
1144007279
Provider Type
Individual
Gender
Female
NPI Issued
Sep 12, 2023 (2.9682060435599 yrs)
Last Updated
Sep 12, 2023
License
351231 (NY)
Sole Proprietor
Yes

Practice Information

Address
22 DIANE DR
MANORVILLE, NY, 119493033
Browse NY providers · Browse ZIP 11949
Phone
6317930587
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.