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Contact Information

RENA LIS, PhD
27 STONER AVE
GREAT NECK, NY11021-2152
 Phone: 516-829-5762
 Fax: 516-466-7818
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RENA LIS · (Female)

NPI # 1174609861
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/27/2006
Last updated 07/10/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # NY009537
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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