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Mrs. Lisa Jo Vasiluth, MSED
Specialist in Commack, New York
NPI 1285999706

Lisa Jo Vasiluth is a Specialist based in Commack, NY. Lisa Jo Vasiluth practices in Commack, NY and has the professional credentials of MSED. The NPI Number for Lisa Jo Vasiluth is 1285999706 and holds a License No. (New York).

The current practice location address for Lisa Jo Vasiluth is 31 Roxbury Dr, Commack, NY and can be reached out via phone at 631-827-1552 and via fax at 631-486-4421.

Location: 31 Roxbury Dr, Commack, NY, 11725-1324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285999706
Provider Name
Lisa Jo Vasiluth
Credential
MSED
Provider Entity Type
Individual
Gender
Female
Address
31 Roxbury Dr, Commack, NY, 11725-1324
Phone Number
631-827-1552
Fax Number
631-486-4421
Provider Enumeration Date
07/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31 Roxbury Dr
City
Commack
State
New York
Zip
11725-1324
Phone Number
631-827-1552
Fax Number
631-486-4421
person
Provider Business Mailing Address Details
Address
31 Roxbury Dr
City
Commack
State
New York
Zip
11725-1324
Phone Number
631-827-1552
Fax Number
631-486-4421
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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