Lisa V Stewart, OTR
Individual provider Active NPI Early Intervention Provider Agency · Marcy, NY
NPI 1295962009 · NPPES record last updated Jun 18, 2009
Key facts
- NPI
- 1295962009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 002969-1 (NY)
- Practice address
- 9217 Michaels LN
Marcy, NY 13403-3226 - Phone
- (315) 865-6062
- NPI assigned
- Jun 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002969-1 | NY | MD | Early Intervention Provider Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 002969-1 | NY | Yes |
Addresses
Primary practice location
9217 Michaels LN
Marcy, NY 13403-3226
Mailing address
9217 Michaels LN
Marcy, NY 13403-3226
Phone (315) 865-6062
Other providers in Marcy, NY
- Marybeth Russo
- Michael Schwartz
- Susan O. Shaffer
- Josephine Andrea Slifka
- David A Stead
- Thomas S Stuhlman
- Tamara Ann Surprenant
- Joanna Sweeney
- Helene M Tomberelli
- Karen Ann Tourtelot
All providers in Marcy, NY · Early Intervention Provider Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.