MRS. LISA CHRISTINE CONDEFER-SMITH


Address: 88 Tioga Ave, Suite 102, Corning, NY 14870
Phone: 6076846115

MRS. LISA CHRISTINE CONDEFER-SMITH (NPI# 1710258033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710258033
Entity Type Individual
Full Name MRS. LISA CHRISTINE CONDEFER-SMITH
Credential NP
Practice Address 88 Tioga Ave
Suite 102
Corning
NY 14870
Mailing Address 88 Tioga Ave.
Suite 102
Corning
NY 14870
Practice Telephone 6076846115
Practice Fax Number 6076846120
Mailing Telephone 6076846115
Mailing Fax Number 6076846120
Enumeration Date 2012-01-18
Last Update Date 2012-01-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
F380998-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 88 TIOGA AVE
SUITE 102
City CORNING
State NY
Zip Code 14870

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922123629 James Leo Schuppert Internal Medicine 88 Tioga Ave, Corning, NY 14831-0001 2007-03-20
1205185568 Judy Toombs Home Health 88 Tioga Ave, Corning, NY 14830-2858 2012-09-02
1366725095 Rusty Mae Hakes Licensed Practical Nurse 88 Tioga Ave, Corning, NY 14830-2858 2011-09-20
1508166448 Nacole Headrick Registered Nurse 88 Tioga Ave, Corning, NY 14830-2858 2010-10-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538609615 Heather Stempin Psychologist 165 Charles Street, Painted Post, NY 14870 2017-03-08
1548641723 Jennifer Graham Social Worker 9579 Vocational Drive G St Boces, Painted Post, NY 14870 2015-06-14
1336419779 Kim M Dahl Registered Nurse 3414 Stanton Street, Painted Post, NY 14870 2012-01-03
1285910372 Helen Elizabeth Schimizzi Registered Nurse 3414 Stamton St. Extension, Painted Post, NY 14870 2011-11-02
1487962742 Jennifer Ann Glosenger Speech-Language Pathologist 3414 Stanton St, Calvin U Smith Elementary School, Painted Post, NY 14870 2010-09-21
1871734681 Margene May Tichane Family Medicine 511 N. Hamilton St., Painted Post, NV 14870 2009-03-09
1154443273 Donald D. Smith D.m.d.,pc Dentist 174 Village Square, Painted Post, NY 14870 2007-04-06
1003902263 Valerie Jean Hammond Dietitian, Registered 9768 Liberty Drive, Painted Post, NY 14870 2006-10-05
1275506503 David Kenneth Austin Orthopaedic Surgery 9768 Liberty Dr, Painted Post, NY 14870 2006-02-08
1144553736 Elizabeth Hageman Pharmacist 76 Veterans Ave, Bath Va Medical Center, Bath, NY 14870 2009-09-14
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003203274 Jennifer Sue Young Nurse Practitioner 1300 Creason Rd, Corning, AR 72422-1716 2015-04-24
1982663456 Kathleen M. Gallaway Nurse Practitioner 130 Center Way, Corning, NY 14830-2255 2006-03-22

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NPI Name Taxonomy Address Enumeration
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1952909012 Marina Byshovets Nurse Practitioner 164 Admiralty Loop, Staten Island, NY 10309-3964 2020-10-12
1700483799 Dmitry Pediatrics, Pediatric Nurse Practitioner PC Nurse Practitioner 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 2020-10-03
1427664572 Leigh Ann Cohen Nurse Practitioner 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 2020-09-23
1295341436 Tatiana Margaret Masone Nurse Practitioner 3142 Victory Blvd, Staten Island, NY 10314-6717 2020-09-22
1992311567 Jyneva W Pickel Nurse Practitioner 3959 Broadway Rm 722, New York, NY 10032-1559 2020-09-19
1902410186 Katie Elise Boyd Nurse Practitioner 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 2020-09-03
1437763877 Tiffany Yu Nurse Practitioner 1746 W 12th St, Brooklyn, NY 11223-1101 2020-09-02
1134733710 Khristan Heagle Haller Nurse Practitioner 20 Locust Ln, Bronxville, NY 10708-4933 2020-09-01
1831703412 Marijana Waite Nurse Practitioner 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 2020-09-01
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Competitor

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City CORNING
Zip Code 14870

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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