Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carissa M Lackey, MD, MPH

Individual provider Family Medicine Physician · NPI 1629642624

Carissa M Lackey, MD, MPH is a Family Practice in Cambridge, New York. Qualified in 2021, 5 years ago. Practices with Glens Falls Hospital Inc, a 173-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

35 Gilbert Street Cambridge Medical Ctr
Cambridge, NY 12816-2618
Phone: (518) 677-3961
Fax: (518) 677-3180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 332725 (NY)

Record details

NPI number1629642624
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedMay 14, 2021
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Glens Falls Hospital Inc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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