Individual provider · Type 1 NPI

Deirdre Ellen Lisewski, COTA

Specialist · Stony Point, NY

NPI number 1740564624 Active

Practice location

2 Munssee Ct
Stony Point, NY 10980-3440

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X004054-1 (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 1740564624

Deirdre Ellen Lisewski, COTA's National Provider Identifier is 1740564624, issued on Oct 10, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stony Point, NY. The record was last updated on Oct 10, 2011.