Active NPIIndividual providerSole proprietor

Ms. Lisa M Gnerre, MS ED

Specialist in Staten Island, New York

NPI Number1609139955
Practice location
4024 Amboy RD, Staten Island, NY 10308-2409
Fax
718-967-2073
Last updated
June 21, 2012

Lisa Marie Gnerre is a Specialist based in Staten Island, NY. Lisa Marie Gnerre practices in Staten Island, NY and has the professional credentials of MS ED. The NPI Number for Lisa Marie Gnerre is 1609139955 and holds a License No. 874245 (NY). The current practice location address for Lisa Marie Gnerre is 4024 Amboy RD, Staten Island, NY 10308-2409 and can be reached out via phone at 718-984-9022 and via fax at 718-967-2073.

Provider Profile Details

NPI Number
1609139955
Provider Name
Lisa Marie Gnerre
Credential
MS ED
Provider Entity Type
Individual
Gender
Female
Address
4024 Amboy RD, Staten Island, NY 10308-2409
Phone Number
718-984-9022
Fax Number
718-967-2073
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
June 21, 2012
Last Update Date
June 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
4024 Amboy RD
Staten Island, NY 10308-2409
Zip
10308-2409
Phone Number
718-984-9022
Fax Number
718-967-2073
Staten Island, NY 10308Get directions →

Provider Business Mailing Address Details

Address
1140 Victory Blvd Apt 2R
Staten Island, NY 10301-3673
City
Staten Island
State
NY
Zip
10301-3673
Phone Number
917-538-4811

License Information

License Number
874245
License State
NY
Taxonomy
Specialist · 174400000X · 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 Ms. Lisa M Gnerre, MS ED?

The NPI number of Ms. Lisa M Gnerre, MS ED is 1609139955. It was assigned on June 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Lisa M Gnerre, MS ED?

Ms. Lisa M Gnerre, MS ED is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 874245.

Where does Ms. Lisa M Gnerre, MS ED practice?

The practice location is 4024 Amboy RD, Staten Island, NY 10308-2409. The office can be reached at 718-984-9022 (phone) or 718-967-2073 (fax).

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 1609139955 directly on the NPPES registry website.

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