Individual
LUSANA AHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2546 BALLTOWN RD STE 300, SCHENECTADY, NY 12309-1079
(518) 377-8184
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2017-01580
NC
207RC0000X
Cardiovascular Disease Physician
Primary
282733
NY
Other
Enumeration date
03/29/2014
Last updated
06/10/2021
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