Deserres, Lianne

Deserres, Lianne is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 3600S , Hawthorne NY 10532-2140. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is her primary health care specialty. Deserres, Lianne can be contacted via phone (914) 693-7636.

Contact Information

Primary practice address
19 Bradhurst Ave Ste 3600S Hawthorne NY 10532-2140
Phone: (914) 693-7636
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 212745 New York
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 212745 New York

Profile Details

NPI number 1144336645
LBN Legal business name Deserres, Lianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Feb 23rd, 2021 - about 5 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 1144336645 NPPES
New York MEDICAID 1932723

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