Provider Demographics
NPI:1003950056
Name:RAPISARDA, LENA M (MS SPECIAL EDUCATION)
Entity Type:Individual
Prefix:MS
First Name:LENA
Middle Name:M
Last Name:RAPISARDA
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATION
Other - Prefix:MISS
Other - First Name:LENA
Other - Middle Name:MARIE
Other - Last Name:RAPISARDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS SPECIAL EDUCATION
Mailing Address - Street 1:11 W PARK DR
Mailing Address - Street 2:
Mailing Address - City:OLD BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11804-1619
Mailing Address - Country:US
Mailing Address - Phone:516-777-2886
Mailing Address - Fax:
Practice Address - Street 1:11 W PARK DR
Practice Address - Street 2:
Practice Address - City:OLD BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11804-1619
Practice Address - Country:US
Practice Address - Phone:516-777-2886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor