Anderson, Lisa L.

Anderson, Lisa L. is an individual health care provider with primary practice located at 425 W 59Th St Suite 9B, New York NY 10019-8022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Anderson, Lisa L. can be contacted via phone (212) 523-7752.

Contact Information

Primary practice address
425 W 59Th St Suite 9B New York NY 10019-8022
Phone: (212) 523-7752
Fax: (212) 523-7731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 162448-1 New York

Profile Details

NPI number 1568425767
LBN Legal business name Anderson, Lisa L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated May 16th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568425767 NPPES
New York MEDICAID 00994289

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