Individual
LISA MARIE CANECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
400 E MAIN ST, MOUNT KISCO, NY 10549-3477
(914) 666-1042
Mailing address
1330 1ST AVE, APT 629, NEW YORK, NY 10021-4742
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430527-1
NY
Other
Enumeration date
08/04/2010
Last updated
07/16/2020
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