Healthcare Provider Details

I. General information

NPI: 1619059391
Provider Name (Legal Business Name): LILI RYSZ SR. MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 CENTRAL PARK W SUITE B
NEW YORK NY
10024-6029
US

IV. Provider business mailing address

259 W 10TH ST APT 6H
NEW YORK NY
10014-2510
US

V. Phone/Fax

Practice location:
  • Phone: 212-721-3800
  • Fax: 718-918-7885
Mailing address:
  • Phone: 212-929-5063
  • Fax: 718-918-7885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number162309
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number162309
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: