| Doctor Name: | MS. LISA GRUENHUT GOLD |
| NPI Number: | 1023135936 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | F331534 |
| Business Practice Address: | 2 Austin Court Poughkeepsie, NY - 12603 |
| Business Phone Number: | 8452160790 |
| Business Fax Number: | 8458421361 |
| Mailing Address: | 79 Dykeman Rd, CARMEL |
| State: | NY |
| Postal Code: | 10512 |
| Phone Number: | 8452160790 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 09/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F331534 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |