Connery, Lisa E

Connery, Lisa E is an sole proprietor health care provider with primary practice located at 75 Beekman Street , Plattsburg NY 12901-1438. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Connery, Lisa E can be contacted via phone (518) 561-2000.

Contact Information

Primary practice address
75 Beekman Street Plattsburg NY 12901-1438
Fax: (518) 562-7542
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA07981200 New Jersey
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 189380 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G63224 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME94486 Florida

Profile Details

NPI number 1619973294
LBN Legal business name Connery, Lisa E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Jan 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619973294 NPPES
New York MEDICAID 01829923
New York MEDICAID 0149942

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