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Contact Information

LISA B MANIATIS FITTING, MSN, ANP-C
360 WASHINGTON AVE.
ROOSEVELT, NY11575
 Phone: 516-378-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LISA B MANIATIS FITTING · (Female)

NPI # 1194970715
Status Active
Credentials MSN, ANP-C
Entity Individual
Enumeration date 11/24/2008
Last updated 08/31/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 003468-1
  • NY License # F307507-1
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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