Lisi, Michele

Lisi, Michele is an individual health care provider with primary practice located at 750 E Adams St 3Rd Floor Radiology, Syracuse NY 13210-2306. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Lisi, Michele can be contacted via phone (315) 464-6672.

Contact Information

Primary practice address
750 E Adams St 3Rd Floor Radiology Syracuse NY 13210-2306
Phone: (315) 464-6672
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 227703 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2277031 New York

Profile Details

NPI number 1952393589
LBN Legal business name Lisi, Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 17th, 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 1952393589 NPPES
New York MEDICAID 02224500
New York MEDICAID 02375079

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