Most Relevant Information
Provider Data
| NPI Number: | 1003585837 |
| Provider Name: | LISA BRANDER |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/07/2021 |
| Last Updated: | 12/30/2021 |
Provider Practice Location
405 LOCUST AVE
OAKDALE
NY
117691695
Practice Location Phone/Fax
| Phone: | 6318681244 |
| Fax: | 6315671648 |
Provider Mailing Location
405 LOCUST AVE
OAKDALE
NY
11768
Provider Mailing Phone/Fax
| Phone: | 6318681244 |
| Fax: | 6315671648 |