Amendolia, Lisa M.

Amendolia, Lisa M. is an individual health care provider with primary practice located at 450 Clarkson Ave , Brooklyn NY 11203-2056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Amendolia, Lisa M. can be contacted via phone (718) 270-3126.

Contact Information

Primary practice address
450 Clarkson Ave Brooklyn NY 11203-2056
Phone: (718) 270-3126
Fax: (718) 270-3797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 201464-1 New York

Profile Details

NPI number 1619960028
LBN Legal business name Amendolia, Lisa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Feb 28th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619960028 NPPES
New York MEDICAID 01774592

Popular Providers