Active NPIIndividual providerSole proprietor

Lissette Bory

Early Intervention Provider Agency in Staten Island, New York

NPI Number1477147544
Practice location
1110 South Ave, Staten Island, NY 10314-3403
Fax
—
Last updated
March 1, 2021

Lissette Bory is an Early Intervention Provider Agency based in Staten Island, NY. Lissette Bory practices in Staten Island, NY. The NPI Number for Lissette Bory is 1477147544. The current practice location address for Lissette Bory is 1110 South Ave, Staten Island, NY 10314-3403 and can be reached out via phone at 866-707-8669.

Provider Profile Details

NPI Number
1477147544
Provider Name
Lissette Bory
Provider Entity Type
Individual
Gender
Female
Address
1110 South Ave, Staten Island, NY 10314-3403
Phone Number
866-707-8669
Primary Taxonomy
Early Intervention Provider Agency · 252Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 1, 2021
Last Update Date
March 1, 2021
Certification Date
February 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1110 South Ave
Staten Island, NY 10314-3403
Zip
10314-3403
Phone Number
866-707-8669
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
918 Forest Ave
Staten Island, NY 10310-2413
City
Staten Island
State
NY
Zip
10310-2413
Phone Number
917-805-6610

License Information

Taxonomy
Early Intervention Provider Agency · 252Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lissette Bory?

The NPI number of Lissette Bory is 1477147544. It was assigned on March 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Lissette Bory?

Lissette Bory is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X).

Where does Lissette Bory practice?

The practice location is 1110 South Ave, Staten Island, NY 10314-3403. The office can be reached at 866-707-8669 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477147544 directly on the NPPES registry website.

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