Healthcare Provider Details

I. General information

NPI: 1013331735
Provider Name (Legal Business Name): ADRIANA LISINSCHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2014
Last Update Date: 03/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 CROSSING BLVD SUITE ONE
HALFMOON NY
12065-4154
US

IV. Provider business mailing address

3 CROSSING BLVD SUITE ONE
HALFMOON NY
12065-4154
US

V. Phone/Fax

Practice location:
  • Phone: 518-831-4434
  • Fax: 518-831-4435
Mailing address:
  • Phone: 518-831-4434
  • Fax: 518-831-4435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number275531
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: