Neysa Anne Christine Price
Individual provider Active NPI Specialist · Lacona, NY
NPI 1700519154 · NPPES record last updated Jul 5, 2022
Key facts
- NPI
- 1700519154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1621597221 (NY)
- Practice address
- 71 Edwards Rd
Lacona, NY 13083-3108 - Phone
- (209) 207-8355
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1621597221 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1621597221 | NY | Yes |
Addresses
Primary practice location
71 Edwards Rd
Lacona, NY 13083-3108
Mailing address
71 Edwards Rd
Lacona, NY 13083-3108
Phone (209) 207-8355
Other providers in Lacona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.