Provider Demographics
NPI:1912109075
Name:LISA MORRONE, P.T., LLC
Entity Type:Organization
Organization Name:LISA MORRONE, P.T., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:MORRONE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:631-834-7017
Mailing Address - Street 1:1 NOEL PL
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1707
Mailing Address - Country:US
Mailing Address - Phone:631-834-7017
Mailing Address - Fax:631-724-4426
Practice Address - Street 1:1 NOEL PL
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1707
Practice Address - Country:US
Practice Address - Phone:631-834-7017
Practice Address - Fax:631-724-4426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010708-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty