National Provider Identifier Database

LISA M DISE, PTA – NPI #1730499245
Specialist

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.


Contact Information

LISA M DISE, PTA
700 CORPORATE BLVD
NEWBURGH, NY12550-0000
Phone: 845-561-3655
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for LISA M DISE

NPI Number 1730499245
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 10/18/2010
Last updated 10/18/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 005982-1
Hospital affiliation n/a

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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