| Carissa M Lackey, MD, MPH | |
|
35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618 | |
| (518) 677-3961 | |
| (518) 677-3180 |
| Full Name | Carissa M Lackey |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 35 Gilbert Street, Cambridge, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629642624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 332725 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carissa M Lackey, MD, MPH 100 Park Street, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-4413 Ph: (518) 926-5924 | Carissa M Lackey, MD, MPH 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618 Ph: (518) 677-3961 |
Dr. Ella Ruth Derbyshire, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180 | |
Jennifer Baker-porazinski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180 | |
Dr. Peter Joseph Peff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Gilbert St, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180 |