Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Lisa Marie Wisel, MS, ADTR-LCAT

Individual provider Specialist · NPI 1265643860

MS. Lisa Marie Wisel, MS, ADTR-LCAT is a Specialist in Long Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

410 E Broadway Number 2T
Long Beach, NY 11561-4446
Phone: (516) 431-8788
Fax: (516) 431-8788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 000708 (NY)

Record details

NPI number1265643860
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ADTR-LCAT
Sole proprietorYes
NPI enumeratedMay 24, 2007
Last updated in NPPESJuly 8, 2007

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