Provider Demographics
NPI:1699717710
Name:SAGER, LISA THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:THOMAS
Last Name:SAGER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:HUDSON VALLEY HOSPICE, INC
Mailing Address - Street 2:374 VIOLET AVENUE
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1034
Mailing Address - Country:US
Mailing Address - Phone:845-473-2273
Mailing Address - Fax:845-790-0009
Practice Address - Street 1:HUDSON VALLEY HOSPICE, INC
Practice Address - Street 2:374 VIOLET AVENUE
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1034
Practice Address - Country:US
Practice Address - Phone:845-473-2273
Practice Address - Fax:845-790-0009
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY212588207Q00000X, 207R00000X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02148492Medicaid
NYG85838Medicare UPIN
NY02148492Medicaid