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
Phone: (518) 561-2000
Fax: (518) 562-7542
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619973294 | NPPES |
New York | MEDICAID | 01829923 | |
New York | MEDICAID | 0149942 |
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