Basic Information
| Provider Information | |||||||||
| NPI: | 1578718110 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAMSAY | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | GAYE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1478 YARROW CIR | ||||||||
| Address2: | |||||||||
| City: | BELLPORT | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117133029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055054319 | ||||||||
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| Practice Location | |||||||||
| Address1: | 625 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | CENTER MORICHES | ||||||||
| State: | NY | ||||||||
| PostalCode: | 119342200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6318787134 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/24/2008 | ||||||||
| LastUpdateDate: | 02/05/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 262392 | NY | Y | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 262392 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.