Provider Demographics
NPI:1972029171
Name:MONCHIL, LISA ANN (RRT)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:MONCHIL
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1289 PEEKSKILL HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-6909
Mailing Address - Country:US
Mailing Address - Phone:303-946-1553
Mailing Address - Fax:914-593-8882
Practice Address - Street 1:19 BRADHURST AVE STE 1400
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2144
Practice Address - Country:US
Practice Address - Phone:914-593-8882
Practice Address - Fax:914-593-8801
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009784227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY009784OtherRESPIRATORY THERAPIST