Lia R Basso (NPI# 1972026169, PAC ID# 0042586448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972026169 |
| PAC ID by PECOS | 0042586448 |
| Professional Enrollment ID | I20171031001369 |
| Full Name | Lia R Basso |
| Organization Legal Name | ADVANCED DERMATOLOGY, PLLC |
| Address |
315 Grant Ave Lake Katrine NY 12449-5342 |
| Phone Number | 8453392525 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648286427 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330013 | ALBANY MEDICAL CENTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 315 Grant Ave, Lake Katrine, NY 12449-5342 | 8453392525 | ADVANCED DERMATOLOGY, PLLC |
| Organization Legal Name | ADVANCED DERMATOLOGY, PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily K O'carroll | Physician Assistant | Advanced Dermatology, Pllc | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
| Kurt H Schroeder | Physician Assistant | Advanced Dermatology, Pllc | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
| Kenneth T Kircher | Dermatology | Advanced Dermatology, Pllc | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
| Alison M Kortz | Physician Assistant | Advanced Dermatology, Pllc | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
| Judith N Schachte | Physician Assistant | Advanced Dermatology, Pllc | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
| Street Address |
315 GRANT AVE |
| City | LAKE KATRINE |
| State | NY |
| Zip | 12449-5342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily K O'carroll | Physician Assistant | Advanced Dermatology, Pllc | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
| Kurt H Schroeder | Physician Assistant | Advanced Dermatology, Pllc | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
| Kenneth T Kircher | Dermatology | Advanced Dermatology, Pllc | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
| Alison M Kortz | Physician Assistant | Advanced Dermatology, Pllc | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
| Judith N Schachte | Physician Assistant | Advanced Dermatology, Pllc | 315 Grant Ave, Lake Katrine, NY 12449-5342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheri A Riker | Nurse Practitioner | Kingston Nh Operation LLC | 1 Commons Dr, Lake Katrine, NY 12449-5149 |
| Michael K Burke | Geriatric Medicine | Kingston Nh Operation LLC | 1 Commons Dr, Lake Katrine, NY 12449-5149 |
| John A Bleski | Gastroenterology | Kingston Nh Operation LLC | 1 Commons Dr, Lake Katrine, NY 12449-5149 |
| Nila G Belmar | Nurse Practitioner | Kingston Nh Operation LLC | 1 Commons Dr, Lake Katrine, NY 12449-5149 |
| Karin A Connelly | Clinical Psychologist | Karin Connelly Phd Psychology Coaching Pllc | 1 Commons Dr, Lake Katrine, NY 12449-5149 |
| David L Herman | Internal Medicine | Albany Medical College | 1561 Ulster Ave, Lake Katrine, NY 12449-5173 |
| Katerina Listopad | Nurse Practitioner | Riddle Medical LLC | 300 Grant Ave, Lake Katrine, NY 12449-5340 |
| Christopher M Catapano | Emergency Medicine | Caremount Medical PC | 1561 Route 9w, Lake Katrine, NY 12449-5410 |
| Katie R Pandolfo | Ophthalmology | Caremount Medical PC | 1561 Route 9w, Lake Katrine, NY 12449-5410 |
| Kristin M Wolf | Emergency Medicine | Caremount Medical PC | 1561 Route 9w, Lake Katrine, NY 12449-5410 |
| Find all physicians in zip 12449 | |||
| City | LAKE KATRINE |
| Zip Code | 12449 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKE KATRINE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lia R Basso.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.