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Organization

LISA A. HONKANEN, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA A. HONKANEN M.D. (PRESIDENT)
(631) 499-1236
Entity
Organization

Contact information

Practice address
120 DALY RD, EAST NORTHPORT, NY 11731-6308
(631) 499-1236
Mailing address
120 DALY RD, EAST NORTHPORT, NY 11731-6308
(631) 499-1236

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
211497
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02256086
NY
Enumeration date
10/09/2006
Last updated
08/22/2020
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