Lis, Ronald

Lis, Ronald is an sole proprietor health care provider with primary practice located at Olmmc, Dept. Of Medicine 600 East 233Rd Street, Bronx NY 10466. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lis, Ronald can be contacted via phone (718) 920-9889.

Contact Information

Primary practice address
Olmmc, Dept. Of Medicine 600 East 233Rd Street Bronx NY 10466
Phone: (718) 920-9889
Fax: (718) 920-9036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 165062 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 165062 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 165062 New York

Profile Details

NPI number 1205987021
LBN Legal business name Lis, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Apr 2nd, 2008 - about 18 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 1205987021 NPPES
New York MEDICAID 01454113

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