Provider Demographics
NPI:1124030069
Name:STRAUS, LISA ANN (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:STRAUS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:CREDENTIALING DEPT
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:914-734-8858
Mailing Address - Fax:914-734-8745
Practice Address - Street 1:3360 ROUTE 343
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:AMENIA
Practice Address - State:NY
Practice Address - Zip Code:12501-5619
Practice Address - Country:US
Practice Address - Phone:845-373-9006
Practice Address - Fax:845-373-7021
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2022-05-31
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Provider Licenses
StateLicense IDTaxonomies
NY181394207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01515728Medicaid
NYA400035571Medicare PIN
NYF66388Medicare UPIN
CT080001539Medicare PIN
NY01515728Medicaid