Individual
MS. LISA E CONNERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 BEEKMAN STREET, PLATTSBURG, NY 12901-1438
(518) 561-2000
(518) 562-7542
Mailing address
75 BEEKMAN STREET, PLATTSBURG, NY 12901-1438
(518) 561-2000
(518) 562-7542
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
189380
NY
207L00000X
Anesthesiology Physician
25MA07981200
NJ
207L00000X
Anesthesiology Physician
Primary
ME94486
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G63224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149942
—
NJ
05
—
01829923
—
NY
Enumeration date
06/28/2005
Last updated
01/13/2021
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