Gaffney, Lisaann

Gaffney, Lisaann is an individual health care provider with primary practice located at 321 Gifford St , Syracuse NY 13204-3201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gaffney, Lisaann can be contacted via phone (315) 703-2600.

Contact Information

Primary practice address
321 Gifford St Syracuse NY 13204-3201
Phone: (315) 703-2600
Fax: (315) 703-2621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2007961 New York

Profile Details

NPI number 1366490039
LBN Legal business name Gaffney, Lisaann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 21st, 2019 - about 5 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 1366490039 NPPES
New York MEDICAID 01617629

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