Whalio Doctors

NPI 1194970715

Lisa B. Maniatis-Fitting, MSNANPC

Practitioner Physical Therapy Assistant Roosevelt, NY

Practice location

Address
360 Washington Ave., Roosevelt, NY 11575
Phone
(516) 378-2000
Mailing address
2377 Sycamore Ave, Wantagh, NY 11793-4413

Registered specialties (2)

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 003468-1 (NY)
Adult Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence F307507-1 (NY)

Registry record

NPI
1194970715
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Nov 2008
Record last updated
31 Aug 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.