OrganizationActive
Lisa Gordner Lcsw PLLC
NPI 1477449734 · Point of Service · Canandaigua, NY
Provider details
- NPI number
- 1477449734
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lisa Gordner, Owner(412) 874-7659
Specialties & taxonomies
Managed Care Organizations
Practice location
5297 Parkside Dr Ste 306a
Canandaigua, NY 14424-7504
Phone: (412) 874-7659
Fax: (412) 874-7659
Approximate (ZIP-level) locationGet directions
Mailing address
5297 Parkside Dr Ste 306a
Canandaigua, NY 14424-7504
Registry dates
- Enumerated
- 2025-06-14
- Last updated
- 2025-06-14
- Certified
- 2025-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.