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Contact Information

LISA A SHEA, PA-C
1550 RICHMOND AVE
SUITE 207
STATEN ISLAND, NY10314-1578
 Phone: 718-698-1616
 Fax: 718-698-9573
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA A SHEA · (Female)

NPI # 1336381136
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/25/2009
Last updated 04/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 010434
  • NJ Other 157484834 DR. PATRICIA C MCCORMACK
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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