Provider Demographics
NPI:1558304048
Name:LUISI, ELIZABETH A (MA, OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:A
Last Name:LUISI
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 BAY RIDGE PKWY
Mailing Address - Street 2:APT. 2C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3150
Mailing Address - Country:US
Mailing Address - Phone:718-836-2085
Mailing Address - Fax:
Practice Address - Street 1:800 POLY PL
Practice Address - Street 2:ROOM 2-414
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7104
Practice Address - Country:US
Practice Address - Phone:718-836-6600
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012871-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist