Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Lisa Marie Gnerre, MSED

Individual provider Specialist · NPI 1609139955

MS. Lisa Marie Gnerre, MSED is a Specialist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

4024 Amboy Rd
Staten Island, NY 10308-2409
Phone: (718) 984-9022
Fax: (718) 967-2073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 874245 (NY)

Record details

NPI number1609139955
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedJune 21, 2012
Last updated in NPPESJune 21, 2012

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