Individual
DR. LISA A. HONKANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
04/03/2006
Last updated
03/23/2015
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