Lisenenkov, Dmitry

Lisenenkov, Dmitry is an individual health care provider with primary practice located at 475 Seaview Ave Cardiothoracic Icu, Staten Island NY 10305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Lisenenkov, Dmitry can be contacted via phone (718) 775-7770.

Contact Information

Primary practice address
475 Seaview Ave Cardiothoracic Icu Staten Island NY 10305
Phone: (718) 775-7770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 249407 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 25MA11111600 New Jersey

Profile Details

NPI number 1679736953
LBN Legal business name Lisenenkov, Dmitry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated May 2nd, 2024 - about 2 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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