Kelly A Lisciandro in Rochester - Internal Medicine
Kelly A Lisciandro - NPI 1689674814
Kelly A Lisciandro is a Internal Medicine in Rochester, New York. Kelly A Lisciandro practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kelly A Lisciandro is 1689674814. The last update date is 2011-10-26.
Kelly A Lisciandro's current location address is 30 Hagen Dr, Rochester, New York. You can contact this provider via phone number 5853811440 and fax number 5855869108. The mailing address for Kelly A Lisciandro is 30 Hagen Dr, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly A Lisciandro |
---|---|
Address | 30 Hagen Dr, Rochester, New York |
Phone Number | 5853811440 |
Fax Number | 5855869108 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1689674814 |
---|---|
Provider Enumeration Date | 2005-07-29 |
Last Updated Date | 2011-10-26 |
Provider Mailing Address Detail
Address | 30 Hagen Dr |
---|---|
City | Rochester |
State | New York (NY) |
Post Code | 146252658 |
Phone Number | 5853811440 |
Fax Number | 5855869108 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
---|---|
Taxonomy | 207R00000X |
Licence No | 228369-1 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7441491 | NY | AETNA | |
P010228369 | NY | BLUE CHOICE | |
115965BJ | NY | PREFERRED CARE | |
2423485 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly A Lisciandro by the Centers for Medicare & Medicaid Services?
The Kelly A Lisciandro has been issued the NPI (National Provider Identifier) 1689674814 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kelly A Lisciandro located?
The Kelly A Lisciandro is located at 30 Hagen Dr, Rochester, NY 146252658.
What is Kelly A Lisciandro's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly A Lisciandro is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
When did Kelly A Lisciandro receive its 1689674814 assignment?
The Kelly A Lisciandro was assigned its 1689674814 on 2005-07-29, which is the date when this unique identifier was issued to the organization.
As of what date were the Kelly A Lisciandro's details last updated?
The information pertaining to the Kelly A Lisciandro, including its address, specialty, and other details, was most recently updated on 2011-10-26.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA