Mooney, Lisa Koehl

Mooney, Lisa Koehl is an individual health care provider with primary practice located at 125 Main St , Oneonta NY 13820-2531. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mooney, Lisa Koehl can be contacted via phone (607) 433-1792.

Contact Information

Primary practice address
125 Main St Oneonta NY 13820-2531
Phone: (607) 433-1792
Fax: (607) 433-6608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 207806 New York

Profile Details

NPI number 1619933058
LBN Legal business name Mooney, Lisa Koehl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619933058 NPPES
New York MEDICAID 01761971

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