Provider Demographics
NPI:1356984884
Name:LISA BILELLA CERTIFIED REGISTERED NURSEANESTHETIST SERVICES OF NY PLLC
Entity type:Organization
Organization Name:LISA BILELLA CERTIFIED REGISTERED NURSEANESTHETIST SERVICES OF NY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ANESTHETIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BILELLA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:718-619-2036
Mailing Address - Street 1:59 OAK LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-1319
Mailing Address - Country:US
Mailing Address - Phone:718-619-2036
Mailing Address - Fax:
Practice Address - Street 1:55 MEADOWLANDS PKWY
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2977
Practice Address - Country:US
Practice Address - Phone:201-392-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty