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Search › New York › 207W00000X

Boaz Lissauer, MD

NPI 1639173123 · on the registry since 2005 · sole proprietor

Practice

Address
1036 Park Ave
Suite 1c
New York, NY 10028
Phone
(212) 717-2150
Fax
(212) 717-2154
Organisation at this address
Park Avenue Cardiology Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
207W00000X
207W00000X
Also registered as
207W00000X
2086S0122X
2086S0122X
Licence states on file
NY, NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York