DIANE LYNN LISS

HICKSVILLE, NY
NPI1235316340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  005393-1)
Enumeration Date2008-01-31
Last Update Date2008-01-31
Business Address
-- DIANE LYNN LISS RPA-C
87 W OLD COUNTRY RD
HICKSVILLE, NY 11801-4003
Phone number: 516-433-1100
Mailing Address
-- DIANE LYNN LISS RPA-C
87 W OLD COUNTRY RD
HICKSVILLE, NY 11801-4003
Phone number: 516-433-1100
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