LISA MICHELLE HODGE-SCELSA

PATCHOGUE, NY
NPI1104922244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F301157)
Enumeration Date2006-09-16
Last Update Date2010-08-16
Business Address
Ms. LISA MICHELLE HODGE-SCELSA Nurse Practitioner
77 MEDFORD AVE ROUTE 112
PATCHOGUE, NY 11772-1281
Phone number: 631-758-4444
Mailing Address
Ms. LISA MICHELLE HODGE-SCELSA Nurse Practitioner
280 MONTAUK HWY PO BOX 9182
BAY SHORE, NY 11706-8403
Phone number: 631-758-4444
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