National Provider Identifier

Lisa Marie Gambino, M.D.

Lisa Marie Gambino, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Honeoye Falls, NY and a listed phone number of (585) 624-2121.

NPI 1184679888Honeoye Falls, NYFamily Medicine Physician

Profile Overview

NPI
1184679888
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
May 23, 2006
Last Updated
October 28, 2008

Practice Location

  • 23 Ontario Street
  • Honeoye Valley Family Practice
  • Honeoye Falls, NY 14472

Phone: (585) 624-2121

Mailing Address

  • 20 Burncoat Way
  • Pittsford, NY 14534-2216

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1184679888
Entity Type
Individual
Last Name
Gambino
First Name
Lisa
Middle Name
Marie
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
20 Burncoat Way
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-2216
Mailing Country
US
Mailing Phone
(585) 389-1906
Practice Street Address
23 Ontario Street
Practice Address Line 2
Honeoye Valley Family Practice
Practice City
Honeoye Falls
Practice State
NY
Practice ZIP Code
14472
Practice Country
US
Practice Phone
(585) 624-2121
Enumeration Date
May 23, 2006
Last Updated
October 28, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)