- Practice location
- 1 Gustave L Levy Pl, Ny, NY 10029
- Phone
- 631-379-6886
- Fax
- —
- Last updated
- September 14, 2009
Lisa Keenan is a Physician Assistant, Surgical based in Ny, NY. Lisa Keenan practices in Ny, NY and has the professional credentials of PA. The NPI Number for Lisa Keenan is 1407189079 and holds a License No. 012029-1 (NY). The current practice location address for Lisa Keenan is 1 Gustave L Levy Pl, Ny, NY 10029 and can be reached out via phone at 631-379-6886.
Provider Profile Details
- NPI Number
- 1407189079
- Provider Name
- Lisa Keenan
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Gustave L Levy Pl, Ny, NY 10029
- Phone Number
- 631-379-6886
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 14, 2009
- Last Update Date
- September 14, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Gustave L Levy Pl
Ny, NY 10029 - City
- Ny
- State
- New York
- Zip
- 10029
- Phone Number
- 631-379-6886
Provider Business Mailing Address Details
- Address
- 211 Elm CT
Scotch Plains, NJ 07076 - City
- Scotch Plains
- State
- NJ
- Zip
- 07076
- Phone Number
- 631-379-6886
License Information
- License Number
- 012029-1
- License State
- NY
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Lisa Keenan, PA?
The NPI number of Mrs. Lisa Keenan, PA is 1407189079. It was assigned on September 14, 2009 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lisa Keenan, PA?
Mrs. Lisa Keenan, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 012029-1.
Where does Mrs. Lisa Keenan, PA practice?
The practice location is 1 Gustave L Levy Pl, Ny, NY 10029. The office can be reached at 631-379-6886 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407189079 directly on the NPPES registry website.