Individual
LISA MARIE ANDOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 PINE HOLW, EMERGENCY, MENDON, NY 14506-9769
(585) 905-4890
Mailing address
10 PINE HOLW, MENDON, NY 14506-9769
(585) 905-4890
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
246515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02933122
—
NY
Enumeration date
06/11/2006
Last updated
03/25/2013
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