| Dr Kelly Anne Lisciandro, DO | |
|
481 Penbrooke Drive, Suite 2, Penfield, NY 14526 | |
| (585) 364-0025 | |
| (585) 364-0024 |
| Full Name | Dr Kelly Anne Lisciandro |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 481 Penbrooke Drive, Penfield, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689674814 | NPI | - | NPPES |
| 115965BJ | Other | NY | PREFERRED CARE |
| 7441491 | Other | NY | AETNA |
| 02423485 | Medicaid | NY | |
| P010228369 | Other | NY | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 228369-1 (New York) | Secondary |
| 207R00000X | Internal Medicine | 228369 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Anne Lisciandro, DO 481 Penbrooke Drive Ste, Suite 2, Penfield, NY 14526 Ph: (585) 364-0025 | Dr Kelly Anne Lisciandro, DO 481 Penbrooke Drive, Suite 2, Penfield, NY 14526 Ph: (585) 364-0025 |
Matthew Metcalf Brockway, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2212 Penfield Rd Ste 200, Penfield, NY 14526 Phone: 585-598-8565 Fax: 585-388-0174 | |
Tahmtan Hormozdyaran, M.D, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2226 Penfield Rd, Penfield, NY 14526 Phone: 585-388-5280 Fax: 585-388-5282 | |
Brenda Davis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2212 Penfield Rd Ste 200, Penfield, NY 14526 Phone: 585-598-8555 Fax: 585-388-0174 | |
Aaron M Olden, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 421 Penbrooke Dr Ste 12a, Penfield, NY 14526 Phone: 585-481-1811 Fax: 585-364-0156 | |
Charles D Wadsworth, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2212 Penfield Rd, Suite 200, Penfield, NY 14526 Phone: 585-598-8569 Fax: 585-388-7273 | |
Joel A. Shamaskin, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2212 Penfield Rd, Suite 200, Penfield, NY 14526 Phone: 585-598-8555 Fax: 585-388-7533 | |
Angela Kreisman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2212 Penfield Rd, Suite 200, Penfield, NY 14526 Phone: 585-598-8565 Fax: 585-388-0174 |