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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 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

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