Andolina, Lisa Marie

Andolina, Lisa Marie is an individual health care provider with primary practice located at 10 Pine Holw Emergency, Mendon NY 14506-9769. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Andolina, Lisa Marie can be contacted via phone (585) 905-4890.

Contact Information

Primary practice address
10 Pine Holw Emergency Mendon NY 14506-9769
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 246515 New York

Profile Details

NPI number 1710929302
LBN Legal business name Andolina, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Mar 25th, 2013 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710929302 NPPES
New York MEDICAID 02933122

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