Lisa Marie Gnerre, M.S. ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

874245 Issued in NY

Practice address

4024 Amboy Rd
Staten Island, NY 10308-2409

Phone

(718) 984-9022

Fax

(718) 967-2073

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1609139955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VICTORY BLVD APT 2R",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013673",
            "telephone_number": "917-538-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082409",
            "telephone_number": "718-984-9022",
            "fax_number": "718-967-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNERRE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S. ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "874245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Glushkova
• Keirstin Glynn-Nevins
• GM Family Resources Inc.
• Toni Rae Marie Gnall, M.A., CCC-SLP
• Roman Gnatenko
• Gno Services, Inc.
• Jessica-Ann Gnyp, L.P.N.
• Go Health Supply Corp
• Amos C Go
• Hendy Zehava Gobioff

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.