Individual
LISA RIBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 WELLNESS WAY STE G06, LATHAM, NY 12110-2135
(518) 786-1600
(518) 786-1606
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
201133
NY
2085R0202X
Diagnostic Radiology Physician
Primary
201133
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01608584
—
NY
Enumeration date
10/25/2006
Last updated
05/09/2024
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