NPI 1043753874

Lisa M. Cassidy, Psychology, P.C.

Organisation Preferred Provider Organization Holbrook, NY

Practice location

Address: 4250 Vets Hwy Suite 215, Holbrook, NY 11741-4000
Phone: (631) 748-4659

Authorised official

Name: Lisa M Cassidy
Title: Licensed Psychologist
Phone: (631) 748-4659

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 011578 (NY)

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Registry record

NPI: 1043753874
Entity type: Organization
NPI issued: 28 Nov 2016
Record last updated: 28 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.