Antonoff, Lisa R

Antonoff, Lisa R is an individual health care provider with primary practice located at 17 Park Ave , New York NY 10016-4324. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Antonoff, Lisa R can be contacted via phone (212) 213-1897.

Contact Information

Primary practice address
17 Park Ave New York NY 10016-4324
Fax: (212) 213-8497
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 040744 New York

Profile Details

NPI number 1457354417
LBN Legal business name Antonoff, Lisa R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 8th, 2007 - about 17 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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