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Contact Information

LISA M HODGE SCELSA, NURSE PRACTITIONER
77 MEDFORD AVE
ROUTE 112
PATCHOGUE, NY11772-1281
 Phone: 631-758-4444
 Fax: 631-758-1984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LISA M HODGE SCELSA · (Female)

NPI Number 1104922244
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 09/16/2006
Last updated 08/16/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # F301157
Hospital affiliation(s)
  • PLAINVIEW HOSPITAL - (Acute Care)
    888 OLD COUNTRY ROAD
    PLAINVIEW, NY 11803
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
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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