Jacob Lyss is a student in an organized health care education training program in Stony Brook, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jacob Lyss NPI is 1518608918. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
151 WESTCHESTER HALL
STONY BROOK, NY
ZIP 11794-711
Phone: (631) 444-2557
Fax: (631) 444-6013
The enumeration date for this NPI number is 4/7/2022 and was last updated on 4/7/2022.