Provider Demographics
NPI:1861563736
Name:FERRARA, LISA A (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:A
Last Name:FERRARA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:20 GRAND STREET
Mailing Address - Street 2:3RD FL
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1035
Mailing Address - Country:US
Mailing Address - Phone:845-353-5600
Mailing Address - Fax:845-987-5979
Practice Address - Street 1:2 CROSFIELD AVENUE - SUITE 318
Practice Address - Street 2:ROCKLAND PULMONARY & MEDICAL ASSOCIATES
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994
Practice Address - Country:US
Practice Address - Phone:845-353-5600
Practice Address - Fax:845-689-9107
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2018-11-19
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Provider Licenses
StateLicense IDTaxonomies
NJ192732207R00000X
NY192732207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY110212736OtherRAILROAD MEDICARE
F68103Medicare UPIN
NY77H621Medicare PIN