IndividualActive
Lisa Aymong, NP
NPI 1023336567 · Rehabilitation Clinic/Center · Port Jefferson, NY
Provider details
- NPI number
- 1023336567
- Entity type
- Individual
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 302539 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
150 Dark Hollow Rd
Port Jefferson, NY 11777-2048
Phone: (631) 473-5400
Approximate (ZIP-level) locationGet directions
Mailing address
150 Dark Hollow Road
Port Jefferson, NY 11777
Registry dates
- Enumerated
- 2010-05-07
- Last updated
- 2010-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.