Provider Demographics
NPI:1326143884
Name:ORNSTEIN, LISBETH BERGER (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISBETH
Middle Name:BERGER
Last Name:ORNSTEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CHELMSFORD RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-1755
Mailing Address - Country:US
Mailing Address - Phone:585-271-3050
Mailing Address - Fax:585-271-7313
Practice Address - Street 1:4 CHELMSFORD RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-1755
Practice Address - Country:US
Practice Address - Phone:585-271-3050
Practice Address - Fax:585-271-7313
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011588-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP010011588OtherEXCELLUS/ROCHESTER
5986041OtherAETNA
NYMDE522OtherPREFERRED CARE
NYMDE522OtherPREFERRED CARE