Kachnic, Lisa Ann

Kachnic, Lisa Ann is an individual health care provider with primary practice located at 622 W 168Th St , New York NY 10032-3720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Kachnic, Lisa Ann can be contacted via phone (212) 305-9987.

Contact Information

Primary practice address
622 W 168Th St New York NY 10032-3720
Phone: (212) 305-9987
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 25MA11476700 New Jersey
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 77022 Massachusetts
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 300242 New York

Profile Details

NPI number 1962493874
LBN Legal business name Kachnic, Lisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Nov 12th, 2024 - about 2 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 1962493874 NPPES
Massachusetts MEDICAID 0143731
Massachusetts Other J22566
Massachusetts Other 077022

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