Imundo, Lisa Florence

Imundo, Lisa Florence is an individual health care provider with primary practice located at 161 Fort Washington Ave Fl 2 Columbia University Department Of Pediatrics, New York NY 10032-3729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Imundo, Lisa Florence can be contacted via phone (212) 304-7250.

Contact Information

Primary practice address
161 Fort Washington Ave Fl 2 Columbia University Department Of Pediatrics New York NY 10032-3729
Phone: (212) 304-7250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 180212-1 New York

Profile Details

NPI number 1881677763
LBN Legal business name Imundo, Lisa Florence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Nov 24th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881677763 NPPES
New York MEDICAID 01605063

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