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General NPI Number Information
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NPI Number | 1801983044
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Entity Type | Organization
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Legal Business Name | LISA A. HONKANEN, M.D., P.C.
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 DALY RD
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-6308
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Country | US
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Telephone | 631-499-1236
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Fax |
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Provider Business Mailing Address
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Address Line | 120 DALY RD
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-6308
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Country | US
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Telephone | 631-499-1236
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LISA A. HONKANEN
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Credential | M.D.
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Telephone | 631-499-1236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 211497
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License Number State | NY
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