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NPI Code Detail

MEDICARE: DR. LAURI ANN LISKIN MD

MEDICARE:  DR. LAURI ANN LISKIN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician211489NY

General Provider Information

NPI Number : 1235248261
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURI ANN LISKIN MD
Provider Business Mailing Address
First Line : 1199 PARK AVE STE 1-W
Second Line :
City : NEW YORK
State : NY
Zip : 10128-1711
Country : US
Telephone Number : 212-828-6888
Fax Number : 347-521-4548
Provider Business Practice Location Address
First Line : 1199 PARK AVE APT 1C
Second Line :
City : NEW YORK
State : NY
Zip : 10128-1712
Country : US
Telephone Number : 212-828-6888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/11/2022

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Directions to “ DR. LAURI ANN LISKIN MD” Practice Location

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