National Provider Identifier

Lisa Waldman, M.ED.SP.EDUCATION

Lisa Waldman, M.ED.SP.EDUCATION is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 223-5090.

NPI 1134483720Fairport, NYSpecialist

Profile Overview

NPI
1134483720
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 27, 2012
Last Updated
June 27, 2012

Practice Location

  • 6800 Pittsford Palmyra RD Ste 380
  • Fairport, NY 14450-3518

Phone: (585) 223-5090

Specialties

  • Specialist (174400000X)
Full Record
NPI
1134483720
Entity Type
Individual
Last Name
Waldman
First Name
Lisa
Name Prefix
MS.
Credential
M.ED.SP.EDUCATION
Mailing Street Address
6800 Pittsford Palmyra RD Ste 380
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3518
Mailing Country
US
Mailing Phone
(585) 223-5090
Mailing Fax
(585) 425-1785
Practice Street Address
6800 Pittsford Palmyra RD Ste 380
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3518
Practice Country
US
Practice Phone
(585) 223-5090
Practice Fax
(585) 425-1785
Enumeration Date
June 27, 2012
Last Updated
June 27, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)