Healthcare Provider Details

I. General information

NPI: 1871568360
Provider Name (Legal Business Name): LISA PIERA LIPARI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 PORTION RD SUITE 17
HOLTSVILLE NY
11742-1074
US

IV. Provider business mailing address

1150 PORTION RD SUITE 17
HOLTSVILLE NY
11742-1074
US

V. Phone/Fax

Practice location:
  • Phone: 631-698-6666
  • Fax: 631-698-0699
Mailing address:
  • Phone: 631-698-6666
  • Fax: 631-698-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX009126
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: