Individual provider · Type 1 NPI

Lisa Marie Gnerre, M.S. ED

Specialist · Staten Island, NY

NPI number 1609139955 Active

Practice location

4024 Amboy Rd
Staten Island, NY 10308-2409

Fax (718) 967-2073

Mailing address

1140 Victory Blvd Apt 2R
Staten Island, NY 10301-3673

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X874245 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1609139955

Lisa Marie Gnerre, M.S. ED's National Provider Identifier is 1609139955, issued on Jun 21, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 21, 2012.