Basic Information
| Provider Information | |||||||||
| NPI: | 1902814031 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARCIA | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | DAVIS AVENUE AT 41EAST POST ROAD | ||||||||
| Address2: | WHITE PLAINS HOSPITAL CENTER | ||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146811074 | ||||||||
| FaxNumber: | 9146812590 | ||||||||
| Practice Location | |||||||||
| Address1: | WHITE PLAINS HOSPITAL CENTER | ||||||||
| Address2: | DAVIS AVENUE AT 41 EAST POST ROAD | ||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146811074 | ||||||||
| FaxNumber: | 9146812590 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2006 | ||||||||
| LastUpdateDate: | 05/19/2008 | ||||||||
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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 | 363LF0000X | 3345781 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 4C8268 | 01 | NY | HEALTH NET | OTHER | P3635438 | 01 | NY | OXFORD HEALTH PLAN | OTHER |