Richard Dean Lisman M.D.,F.A.C.S

NPI 1043219900 - Specialist - 174400000X

NPI Details
NPI 1043219900
Gender Male
Enumeration Date 07/21/2005
Last Updated 04/29/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
635 PARK AVE
NEW YORK NY, 10021-6546, US
Phone (212) 585-1405
Fax (212) 585-1408
Business Location
635 PARK AVE
NEW YORK NY, 10021-6546, US
Phone (212) 585-1405
Fax (212) 585-1408
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 1311301
Remove 1043219900 NPI Number
 

According to our database, Dr. Richard Dean Lisman M.D.,F.A.C.S NPI is 1043219900, taxonomy code is 174400000X and license number is 1311301, license state is located at New York. Richard Dean Lisman M.D.,F.A.C.S physically located at 635 Park Ave, New York NY, 10021-6546. NPI Number Richard Dean Lisman M.D.,F.A.C.S has the Individual type.

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1043219900 NPI number is provided on an as is basis without warranty of any kind. 1043219900 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Dean Lisman M.D.,F.A.C.S are for informational purposes only.