Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 253445 | NY |
N | 207Q00000X | Family Doctor | 36113681 | IL |
N | 207RG0300X | Geriatric Medicine | 253445 | NY |
NPI | 1164590568 |
---|---|
Provider Name | Dr. Lisa Vargish |
First Address | Rochester, NY 14618 |
Second Address | Rochester, NY 14618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 04/12/2009 |