Lifeplan Cco Ny, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

LIFEPLAN CCO NY, LLC

Practice address

1020 Mary St
Utica, NY 13501-1930

Phone

(315) 724-6907

NPI assigned

Feb 13, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alan Krafchin

Title

Board Chair

Phone

(518) 944-2100

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1417457789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CORPORATE WOODS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112374",
            "telephone_number": "518-944-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MARY ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011930",
            "telephone_number": "315-724-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPLAN CCO NY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "KRAFCHIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "518-944-2100"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcella M Lewis, L.C.S.W.-R
• Shyqual M Lewis, MD
• Ningwei Li, MD
• John J Liang, DMD
• Margaret Liberty
• Kimberly Lighthall, RDH
• Abbey Lighton, LMSW
• Betsy Doria Liljeberg, PSYNP
• Wendy L Lilley, RRT
• Hui Shi Lin, FNP

• Case Manager/Care Coordinator in Utica, NY
• Providers in Utica, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.