Provider Information for 1942729371
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Ms. LISA MARIE ALBERTY
Sex: Female
NPI: 1942729371
Last Updated: 2024-02-16
Certification Date: 2024-02-16
Certification Date: 2024-02-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1942729371 | ||||||||
| Enumeration Date | 2017-09-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 120 BENCHLEY PL APT 33J BRONX, NY 10475-3424 United States Phone: 646-409-2915 | Fax: | ||||||||
| Primary Practice Address | 2510 WESTCHESTER AVE STE 202 BRONX, NY 10461-3585 United States Phone: 855-400-1975 | Fax:646-351-8517 | ||||||||
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