Individual
DR. LISA ANN KACHNIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9987
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9987
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
25MA11476700
NJ
2085R0001X
Radiation Oncology Physician
Primary
300242
NY
2085R0001X
Radiation Oncology Physician
77022
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143731
—
MA
01
—
077022
TUFTS HEALTH PLAN
MA
01
—
J22566
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
11/12/2024
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