# LISA A. MEGNA-VICINANZO DC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740498781
- **Authorized official:** DR. LISA A MEGNA-VICINANZO DC (CHIROPRACTOR)
- **Authorized official phone:** (516) 489-4811

## Contact information

- **Practice address:** 959 WASHINGTON AVE, ALBANY, NY 12206-1415
- **Practice address phone:** (518) 489-4811
- **Mailing address:** 959 WASHINGTON AVENUE, ALBANY, NY 12206
- **Mailing address phone:** (518) 489-4811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X006345-1 | NY | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020