Lisa Deritis Ganz
School Psychologist
1400 Old Country Rd Ste C103n
Westbury
, New York 11590-5156
Lisa Deritis Ganz
School Psychologist
1400 Old Country Rd Ste C103n
Westbury
, New York 11590-5156
(607) 727-9130
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Lisa Deritis Ganz
- 46 Ashland Ave
- New Hyde Park, NY
- Zip : 11040-3957
- Phone : (607) 727-9130
Second Address
- Lisa Deritis Ganz
- 1400 Old Country Rd Ste C103n
- Westbury, NY
- Zip : 11590-5156
- Phone : (516) 806-6969
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | 2854054 | NY |
National Provider Identifier
| NPI | 1033876016 |
|---|---|
| Provider Name | Lisa Deritis Ganz |
| First Address | New Hyde Park, NY 11040-3957 |
| Second Address | Westbury, NY 11590-5156 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/11/2021 |
| Last Update Date | 24/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.