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Dr. Anna Lizza Lopez Siasoco, MD
Family Medicine Physician in Port Washington, New York
NPI 1386614428

Anna Lizza Lopez Siasoco is a Family Medicine Physician based in Port Washington, NY. Anna Lizza Lopez Siasoco practices in Port Washington, NY and has the professional credentials of MD. The NPI Number for Anna Lizza Lopez Siasoco is 1386614428 and holds a License No. 236459 (New York).

The current practice location address for Anna Lizza Lopez Siasoco is 415 Port Washington Blvd, Port Washington, NY and can be reached out via phone at 516-883-0218 and via fax at 516-767-0894.

Location: 415 Port Washington Blvd, Port Washington, NY, 11050-4201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386614428
Provider Name
Anna Lizza Lopez Siasoco
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
415 Port Washington Blvd, Port Washington, NY, 11050-4201
Phone Number
516-883-0218
Fax Number
516-767-0894
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5C5341 01 NY HEALTH NET OF NORTHEAST
9412517 01 NY PHCS
3363P1 01 NY EMPIRE BLUECROSS BLUESHIE
5880458 01 NY CIGNA
5995775 01 NY GHI
SA6459 01 NY ATLANTIS
institution
Provider Business Practice Location Address Details
Address
415 Port Washington Blvd
City
Port Washington
State
New York
Zip
11050-4201
Phone Number
516-883-0218
Fax Number
516-767-0894
person
Provider Business Mailing Address Details
Address
415 Port Washington Blvd
City
Port Washington
State
New York
Zip
11050-4201
Phone Number
516-883-0218
Fax Number
516-767-0894
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
236459 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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