Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA JEAN MAMAKOS, M.D.
Active Sole ProprietorMS. LISA JEAN MAMAKOS, M.D. is a Geriatric Medicine healthcare provider located in WESTHAMPTON BEACH, New York. NPI 1619265584 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · WESTHAMPTON BEACH, NY
Registration Details
- NPI Number
- 1619265584
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2011 (15.116075265715 yrs)
- Last Updated
- Sep 10, 2018
- License
-
282828 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
147 BEACH RD STE AWESTHAMPTON BEACH, NY, 11978Browse NY providers · Browse ZIP 11978
- Phone
- 6312887746
- Fax
- 6312887111
- Primary Specialty
-
Geriatric Medicine
207QG0300X
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.