Daria Ann Lisick in Johnson City - Physician Assistant
Daria Ann Lisick - NPI 1497832125
Daria Ann Lisick is a Physician Assistant in Johnson City, New York. Daria Ann Lisick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Daria Ann Lisick is 1497832125. The last update date is 2016-10-26.
Daria Ann Lisick's current location address is 240 Riverside Dr., Johnson City, New York. You can contact this provider via phone number 6077989356 and fax number 6077971707. The mailing address for Daria Ann Lisick is 240 Riverside Dr., Johnson City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daria Ann Lisick |
|---|---|
| Address | 240 Riverside Dr., Johnson City, New York |
| Phone Number | 6077989356 |
| Fax Number | 6077971707 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1497832125 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2016-10-26 |
Provider Mailing Address Detail
| Address | 240 Riverside Dr. |
|---|---|
| City | Johnson City |
| State | New York (NY) |
| Post Code | 137902732 |
| Phone Number | 6077989356 |
| Fax Number | 6077971707 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 6573 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1793411 | NY | -- |
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What is the unique 10-digit identifier code issued to Daria Ann Lisick by the Centers for Medicare & Medicaid Services?
The Daria Ann Lisick has been assigned the NPI (National Provider Identifier) 1497832125 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Daria Ann Lisick located?
The Daria Ann Lisick is located at 240 Riverside Dr., Johnson City, NY 137902732.
What is the area of specialization for Daria Ann Lisick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Daria Ann Lisick is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did Daria Ann Lisick receive its 1497832125 assignment from the Centers for Medicare & Medicaid Services?
The Daria Ann Lisick was assigned its 1497832125 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Daria Ann Lisick most recently updated or revised?
The information pertaining to Daria Ann Lisick, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-26.