Provider Demographics
NPI:1902814031
Name:GARCIA, LISA A (NP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:GARCIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DAVIS AVENUE AT 41EAST POST ROAD
Mailing Address - Street 2:WHITE PLAINS HOSPITAL CENTER
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601
Mailing Address - Country:US
Mailing Address - Phone:914-681-1074
Mailing Address - Fax:914-681-2590
Practice Address - Street 1:WHITE PLAINS HOSPITAL CENTER
Practice Address - Street 2:DAVIS AVENUE AT 41 EAST POST ROAD
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-681-1074
Practice Address - Fax:914-681-2590
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3345781363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4C8268OtherHEALTH NET
NYP3635438OtherOXFORD HEALTH PLAN
NYP00383179Medicare PIN
NY4C8268OtherHEALTH NET
Q63597Medicare UPIN