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

LISA CORNELL

Active Sole Proprietor

LISA CORNELL is a Specialist healthcare provider located in WHEATLEY HTS, New York. NPI 1770989899 is currently active in the NPPES registry. Verify at CMS.

Specialist · WHEATLEY HTS, NY

Registration Details

NPI Number
1770989899
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2014 (11.596579254194 yrs)
Last Updated
Nov 17, 2014
Licenses
884126141 (NY)
883905141 (NY)
883888141 (NY)
Sole Proprietor
Yes

Practice Information

Address
54 BROWN BLVD
WHEATLEY HTS, NY, 117981520
Browse NY providers · Browse ZIP 11798
Phone
6314782262
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist
Additional Specialty
Specialist
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.