Healthcare Provider Details

I. General information

NPI: 1316097934
Provider Name (Legal Business Name): LISA I. AARON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 07/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MAIN ST C/O WJCS
PEEKSKILL NY
10566-2907
US

IV. Provider business mailing address

23 OXFORD RD
HASTINGS ON HUDSON NY
10706-4021
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-7338
  • Fax: 914-737-1050
Mailing address:
  • Phone: 914-962-5593
  • Fax: 914-962-5599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number179681
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: