Dmitry Lisenenkov M.D.

NPI 1679736953 - Internal Medicine - 207RC0200X

NPI Details
NPI 1679736953
Gender Male
Enumeration Date 07/07/2008
Last Updated 04/10/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
111 EAST 210 STREET
GOLD ZONE, DEPT CRITICAL CARE
BRONX NY, 10467, US
Phone (718) 920-5463
Fax
Business Location
111 EAST 210 STREET
GOLD ZONE, DEPT OF CRITICAL CARE
BRONX NY, 10467, US
Phone (718) 920-5463
Fax
Toxanomy
Taxonomy Code 207RC0200X
License State New York
License Number 249407
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According to our database, Dr. Dmitry Lisenenkov M.D. NPI is 1679736953, taxonomy code is 207RC0200X and license number is 249407, license state is located at New York. Dmitry Lisenenkov M.D. physically located at 111 East 210 Street, Bronx NY, 10467. NPI Number Dmitry Lisenenkov M.D. has the Individual type.

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1679736953 NPI number is provided on an as is basis without warranty of any kind. 1679736953 is maintained by the National Plan & Provider Enumeration System. The contents of Dmitry Lisenenkov M.D. are for informational purposes only.