Siasoco, Anna Lizza Lopez
Siasoco, Anna Lizza Lopez is an sole proprietor health care provider with primary practice located at 415 Port Washington Blvd , Port Washington NY 11050-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Siasoco, Anna Lizza Lopez can be contacted via phone (516) 883-0218.Contact Information
Primary practice address
415 Port Washington Blvd
Port Washington NY 11050-4201
Phone: (516) 883-0218
Fax: (516) 767-0894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 236459 | New York |
Profile Details
| NPI number | 1386614428 |
|---|---|
| LBN Legal business name | Siasoco, Anna Lizza Lopez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Sep 12th, 2014 - about 10 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 | 1386614428 | NPPES |
| New York | Other | 5C5341 | HEALTH NET OF NORTHEAST |
| New York | Other | 9412517 | HEALTH NET OF NORTHEAST |
| New York | Other | 3363P1 | HEALTH NET OF NORTHEAST |
| New York | Other | 5880458 | HEALTH NET OF NORTHEAST |
| New York | Other | 5995775 | HEALTH NET OF NORTHEAST |
| New York | Other | SA6459 | HEALTH NET OF NORTHEAST |
Popular Providers
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Craddock, Michelle Marilyn
625 Belle Terre Rd Suite 119 Port Jefferson Medical Assoc, Port Jefferson NY 11777 -
Anderson, John A
213 Broadway , Port Ewen NY 12466-7769 -
Siasoco, Sixto Andres
415 Port Washington Blvd , Port Washington NY 11050-4201 -
Rivas, Jaime
220 Westchester Ave , Port Chester NY 10573-4557 -
Voulo, Raymond J.
71 Longview Rd , Port Washington NY 11050-3039 -
Jurasits, Erika M
170 N Country Rd Ste 2 , Port Jefferson NY 11777-2606 -
Bateman, Lewis Lee
125 Oakland Ave Suite 205 Mather Primary Care, Port Jefferson NY 11777 -
Mohamed, Yasmin
110 Main Street Suite 202, Port Washington NY 11050