Lackey, Carissa M
Lackey, Carissa M is an individual health care provider with primary practice located at 35 Gilbert Street Cambridge Medical Center, Cambridge NY 12816-2618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lackey, Carissa M can be contacted via phone (518) 677-3961.Contact Information
Primary practice address
35 Gilbert Street Cambridge Medical Center
Cambridge NY 12816-2618
Phone: (518) 677-3961
Fax: (518) 677-3180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 332725 | New York |
Profile Details
| NPI number | 1629642624 |
|---|---|
| LBN Legal business name | Lackey, Carissa M |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2021 |
| Last updated | Sep 24th, 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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