Provider Demographics
NPI:1407511132
Name:MCCASKILL, LISA K (NP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:K
Last Name:MCCASKILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23 WATER GRANT ST APT 8B
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-3587
Mailing Address - Country:US
Mailing Address - Phone:914-525-6766
Mailing Address - Fax:
Practice Address - Street 1:700 WHITE PLAINS RD STE 270
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5013
Practice Address - Country:US
Practice Address - Phone:914-512-3411
Practice Address - Fax:646-967-4075
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-08
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY310468363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health