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Lisa A Ciochetto
Student in an Organized Health Care Education/Training Program in Coram, New York
NPI 1255074084

Lisa A Ciochetto is a Student in an Organized Health Care Education/Training Program based in Coram, NY. Lisa A Ciochetto practices in Coram, NY. The NPI Number for Lisa A Ciochetto is 1255074084 and holds a License No. (New York).

The current practice location address for Lisa A Ciochetto is 3600 Route 112, Coram, NY and can be reached out via phone at 631-615-7749.

Location: 3600 Route 112, Coram, NY, 11727-4116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255074084
Provider Name
Lisa A Ciochetto
Credential
Provider Entity Type
Individual
Gender
Female
Address
3600 Route 112, Coram, NY, 11727-4116
Phone Number
631-615-7749
Fax Number
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-615-7749
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-615-7749
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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