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Contact Information

LISA D REISNER, R.D.
1869 BRENTWOOD ROAD
BRENTWOOD, NY11717
 Phone: 631-853-3400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LISA D REISNER · (Female)

NPI Number 1194825695
Status Active
Credentials R.D.
Entity Individual
Enumeration date 09/24/2006
Last updated 08/10/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 005739
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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