Provider Demographics
NPI:1083252720
Name:SALINGER, LISA R (PT)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:R
Last Name:SALINGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 VETERANS MEMORIAL HIGHWAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-670-7033
Mailing Address - Fax:631-670-7688
Practice Address - Street 1:340 VETERANS MEMORIAL HIGHWAY
Practice Address - Street 2:SUITE 1
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725
Practice Address - Country:US
Practice Address - Phone:631-670-7033
Practice Address - Fax:631-670-7688
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011429-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist