Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 275531 | NY |
NPI | 1013331735 |
---|---|
Provider Name | Adriana Lisinschi |
First Address | Halfmoon, NY 12065-4154 |
Second Address | Halfmoon, NY 12065-4154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2014 |
Last Update Date | 19/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04145084 | (05) | NY |