Provider Demographics
NPI:1376515338
Name:YOUKELES, LISA HOPE (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:HOPE
Last Name:YOUKELES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 E MAIN ST STE 303
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3036
Mailing Address - Country:US
Mailing Address - Phone:914-218-3838
Mailing Address - Fax:914-218-3836
Practice Address - Street 1:344 E MAIN ST STE 303
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3036
Practice Address - Country:US
Practice Address - Phone:914-218-3838
Practice Address - Fax:914-218-3836
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1670821207RC0200X, 207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01291923Medicaid
NY01291923Medicaid
NY78F341Medicare ID - Type Unspecified