PAMELA LUSIGNAN NP NPI 1619982436

NPI Information

  • NPI: 1619982436
  • Provider Name: PAMELA LUSIGNAN, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 13 PALMER AVE
    EVERGREEN HEALTH CENTER
    CORINTH, NY
    ZIP 12822
  • Phone: (518) 654-6499

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NPI Details

Pamela Lusignan, NP is an adult health nurse practitioner in Corinth, NY. Pamela Lusignan, NP NPI is 1619982436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13 PALMER AVE
EVERGREEN HEALTH CENTER
CORINTH, NY
ZIP 12822-145
Phone: (518) 654-6499
Fax: (518) 654-7303

The enumeration date for this NPI number is 7/30/2006 and was last updated on 6/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthF301311NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102327728MEDICAIDNEW YORK
2J400008218OTHERNEW YORKMEDICARE
3P00812472OTHERNEW YORKRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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