Individual
DR. LISA A MEGNA VICINANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
959 WASHINGTON AVE, ALBANY, NY 12206
(518) 489-4811
(518) 489-6200
Mailing address
959 WASHINGTON AVE, ALBANY, NY 12206
(518) 489-4811
(518) 489-6200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0063451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X5570
BLUE CROSS BLUE SHIELD
NY
Enumeration date
12/11/2006
Last updated
07/08/2007
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