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NPI Code Detail

MEDICARE: MS. LISA GAYE CURTIS FNP

MEDICARE:  MS. LISA GAYE CURTIS  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner335332NY

General Provider Information

NPI Number : 1972740173
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA GAYE CURTIS FNP
Provider Business Mailing Address
First Line : 21 BROOKLINE WAY
Second Line :
City : NEW CITY
State : NY
Zip : 10956-4136
Country : US
Telephone Number : 646-303-2879
Fax Number :
Provider Business Practice Location Address
First Line : 425 WESTCHESTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10455-1795
Country : US
Telephone Number : 718-705-2555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2009
Last Update Date : 05/15/2025

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