Lisa R Bevilacqua in Latham - Family Medicine
Lisa R Bevilacqua - NPI 1336231844
Lisa R Bevilacqua is a Family Medicine in Latham, New York. Lisa R Bevilacqua practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lisa R Bevilacqua is 1336231844. The last update date is 2021-05-07.
Lisa R Bevilacqua's current location address is 711 Troy Schenectady Rd Ste 203, Latham, New York. You can contact this provider via phone number 5187823700 and fax number 5187823799. The mailing address for Lisa R Bevilacqua is 711 Troy Schenectady Rd Ste 203, Latham, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa R Bevilacqua |
|---|---|
| Address | 711 Troy Schenectady Rd Ste 203, Latham, New York |
| Phone Number | 5187823700 |
| Fax Number | 5187823799 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1336231844 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2021-05-07 |
Provider Mailing Address Detail
| Address | 711 Troy Schenectady Rd Ste 203 |
|---|---|
| City | Latham |
| State | New York (NY) |
| Post Code | 121102461 |
| Phone Number | 5187823700 |
| Fax Number | 5187823799 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 191889 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1495192 | NY | -- | |
| 8954 | NY | MVP | |
| 200032 | NY | SENIOR WHOLE HEALTH | |
| 52558 | NY | GHI/HMO | |
| 10005959 | NY | CDPHP | |
| 401405003 | NY | BSNENY | |
| 40824000041 | NY | FIDELIS | |
| 4725D1 | NY | EMPIRE BC | |
| 531715 | NY | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa R Bevilacqua by the Centers for Medicare & Medicaid Services?
The Lisa R Bevilacqua has been assigned the NPI (National Provider Identifier) 1336231844 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lisa R Bevilacqua?
The Lisa R Bevilacqua is physically situated at 711 Troy Schenectady Rd Ste 203, in the city of Latham, state of NY, with the postal code 121102461.
What is Lisa R Bevilacqua's area of expertise and its corresponding taxonomy classification?
The Lisa R Bevilacqua's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1336231844 assigned to Lisa R Bevilacqua?
The Lisa R Bevilacqua was issued its 1336231844 on 2006-09-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Lisa R Bevilacqua most recently updated or refreshed?
The details pertaining to the Lisa R Bevilacqua, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-05-07.
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