| Lisa A. Honkanen, M.d., P.c. | |
|
120 Daly Rd East Northport NY 11731-6308 | |
| (631) 499-1236 | |
| Not Available |
| Full Name | Lisa A. Honkanen, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 Daly Rd, East Northport, New York |
| Authorized Official Name and Position | Lisa A. Honkanen (PRESIDENT) |
| Authorized Official Contact | 6314991236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A. Honkanen, M.d., P.c. 120 Daly Rd East Northport NY 11731-6308 Ph: (631) 499-1236 | Lisa A. Honkanen, M.d., P.c. 120 Daly Rd East Northport NY 11731-6308 Ph: (631) 499-1236 |
| NPI Number | 1801983044 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0244331726 |
|---|---|
| Medicare Enrollment ID | O20070727000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801983044 | NPI | - | NPPES |
| 02256086 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 211497 (New York) | Primary |
| Provider Name | Lisa Honkanen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811959372 PECOS PAC ID: 5496765000 Enrollment ID: I20060426000916 |
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