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General NPI Number Information
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NPI Number | 1023065158
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Entity Type | Individual
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Provider Name | LISA KUMP-CHECCHIO MD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 159 E 53RD ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10022-4602
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Country | US
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Telephone | 212-263-8990
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Fax | 212-263-8827
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Provider Business Mailing Address
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Address Line | 700 HICKSVILLE RD STE 205
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City | BETHPAGE
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State | NY
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Zip | 11714-3472
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Country | US
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Telephone | 267-339-7843
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 200091
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License Number State | NY
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