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Ms. Lisa Marie Dise, PTA
Specialist in Newburgh, New York
NPI 1730499245

Lisa Marie Dise is a Specialist based in Newburgh, NY. Lisa Marie Dise practices in Newburgh, NY and has the professional credentials of PTA. The NPI Number for Lisa Marie Dise is 1730499245 and holds a License No. 005982-1 (New York).

The current practice location address for Lisa Marie Dise is 700 Corporate Blvd, Newburgh, NY and can be reached out via phone at 845-561-3655.

Location: 700 Corporate Blvd, Newburgh, NY, 12550-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730499245
Provider Name
Lisa Marie Dise
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
700 Corporate Blvd, Newburgh, NY, 12550-0000
Phone Number
845-561-3655
Fax Number
Provider Enumeration Date
10/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 Corporate Blvd
City
Newburgh
State
New York
Zip
12550-0000
Phone Number
845-561-3655
Fax Number
person
Provider Business Mailing Address Details
Address
700 Corporate Blvd
City
Newburgh
State
New York
Zip
12550-0000
Phone Number
845-561-3655
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
005982-1 (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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