Lissette Bory
Lissette Bory is an Early Intervention Provider Agency in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1110 S AveStaten Island, NY 10314-3403
Phone: (866) 707-8669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1477147544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 1, 2021 |
| Last updated in NPPES | March 1, 2021 |
| Certification date | February 24, 2021 |
| Mailing address | 918 Forest Ave, Staten Island, NY 10310-2413 |
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