OrganizationActive
Lisa M. Cassidy, Psychology, P.C.
NPI 1043753874 · Preferred Provider Organization · Holbrook, NY
Provider details
- NPI number
- 1043753874
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lisa Cassidy, Licensed Psychologist(631) 748-4659
- License
- 011578 (NY)
Specialties & taxonomies
Managed Care Organizations
Practice location
4250 Vets Hwy
Suite 215
Holbrook, NY 11741-4000
Phone: (631) 748-4659
Approximate (ZIP-level) locationGet directions
Mailing address
4250 Vets Hwy
Holbrook, NY 11741-4000
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2016-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.