Richard Dean Lisman in New York - Plastic Surgery Within The Head And Neck

Richard Dean Lisman - NPI 1043219900

Richard Dean Lisman is a Plastic Surgery Within The Head And Neck in New York, New York. Richard Dean Lisman practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Richard Dean Lisman is 1043219900. The last update date is 2016-04-29.

Richard Dean Lisman's current location address is 635 Park Ave, New York, New York. You can contact this provider via phone number 2125851405 and fax number 2125851408. The mailing address for Richard Dean Lisman is 635 Park Ave, New York, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Dean Lisman
Address 635 Park Ave, New York, New York
Phone Number 2125851405
Fax Number 2125851408
Sole Proprietor Y
Credentials M.D.,F.A.C

NPI Number Detail

NPI Number 1043219900
Provider Enumeration Date 2005-07-21
Last Updated Date 2016-04-29

Provider Mailing Address Detail

Address 635 Park Ave
City New York
State New York (NY)
Post Code 100216546
Phone Number 2125851405
Fax Number 2125851408

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head And Neck
Taxonomy 2082S0099X
Licence No 131130
Definition:
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue

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FAQs about Richard Dean Lisman

What is the unique identifier code issued to Richard Dean Lisman by the Centers for Medicare & Medicaid Services (CMS)?

The Richard Dean Lisman has been assigned the NPI (National Provider Identifier) 1043219900. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Richard Dean Lisman is physically located?

The Richard Dean Lisman is situated at the following address: 635 Park Ave, New York, NY 100216546.

What is Richard Dean Lisman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Richard Dean Lisman is Plastic Surgery Within The Head And Neck, and the taxonomy classification code that categorizes this area of expertise is 2082S0099X.

On what date did the Richard Dean Lisman receive the assignment of its 1043219900 from the Centers for Medicare & Medicaid Services?

The Richard Dean Lisman was issued its 1043219900 by the Centers for Medicare & Medicaid Services on 2005-07-21.

When was the information regarding Richard Dean Lisman most recently updated?

The details pertaining to the Richard Dean Lisman, including its address, specialty, and other relevant information, were last refreshed on 2016-04-29.

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