DR. LISA E BOMSE (NPI# 1831299585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831299585 |
| Entity Type | Individual |
| Full Name | DR. LISA E BOMSE |
| Credential | PSYD |
| Practice Address |
9 Pine Rd Syosset NY 11791-4217 |
| Practice Telephone | 5169212721 |
| Mailing Telephone | 5169212721 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
011728 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01590409 | 05 |
| Street Address |
9 PINE RD |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083046056 | Scott Jeremy Tessler | Psychologist | 5 Samuel Ct, Syosset, NY 11791-3812 | 2013-08-01 |
| 1710294723 | Stefanie Beth Kaley | Psychologist | 18 Parkway Dr, Syosset, NY 11791-6616 | 2010-09-13 |
| 1255512703 | Anu Raj | Psychologist | 175 Jericho Tpke Ste 213, Syosset, NY 11791-4501 | 2007-11-26 |
| 1043378425 | Marvin Eisenstadt | Psychologist | 352 S Oyster Bay Road, Syosset, NY 11791-6913 | 2006-12-05 |
| 1881769206 | Danial Kessler | Psychologist | 27 Harriet Dr, Syosset, NY 11791-5106 | 2006-11-21 |
| 1982793071 | Kyla Josie Blattberg | Psychologist | 36 Holly Dr, Syosset, NY 11791-5720 | 2006-10-12 |
| 1215293709 | Dr. Fred Krellenstein, Psychologist, P.C. | Psychologist | 8 Holly Dr, Syosset, NY 11791-5718 | 2012-04-09 |
| 1043589575 | Pamela B Wasserman | Psychologist | 115 Eileen Way, Syosset, NY 11791-5325 | 2011-12-29 |
| 1861760357 | George William Basso Jr. | Psychologist | 157 Robbins Ln, Syosset, NY 11791-6003 | 2011-12-12 |
| 1861519209 | Michael Saks | Psychologist | 314 Jackson Ave, Syosset, NY 11791-4124 | 2007-03-22 |
| Find all providers in SYOSSET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.