Keenan, Lisa

Keenan, Lisa is an individual health care provider with primary practice located at 1 Gustave L Levy Pl , Ny NY 10029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Keenan, Lisa can be contacted via phone (631) 379-6886.

Contact Information

Primary practice address
1 Gustave L Levy Pl Ny NY 10029
Phone: (631) 379-6886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 012029-1 New York

Profile Details

NPI number 1407189079
LBN Legal business name Keenan, Lisa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2009
Last updated Sep 14th, 2009 - about 16 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.

Request for update

Popular Providers