Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 306263 | NY |
N | 208600000X | Surgeon | 306263 | NY |
N | 208200000X | Surgeon | G78151 | CA |
N | 208600000X | Surgeon | G78151 | CA |
Y | 2086X0206X | Surgical Oncologist | 306263 | NY |
N | 2086X0206X | Surgical Oncologist | G78151 | CA |
NPI | 1306846324 |
---|---|
Provider Name | Lisa D. Curcio |
First Address | Lagrangeville, NY 12540-5128 |
Second Address | Rhinebeck, NY 12572-3709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2005 |
Last Update Date | 20/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F84287 | (02) | CA |
WG78151B | PIN (01) | CA |