Lisenenkov, Dmitry
Lisenenkov, Dmitry is an individual health care provider with primary practice located at 475 Seaview Ave Cardiothoracic Icu, Staten Island NY 10305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Lisenenkov, Dmitry can be contacted via phone (718) 775-7770.Contact Information
Primary practice address
475 Seaview Ave Cardiothoracic Icu
Staten Island NY 10305
Phone: (718) 775-7770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 249407 | New York |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 25MA11111600 | New Jersey |
Profile Details
| NPI number | 1679736953 |
|---|---|
| LBN Legal business name | Lisenenkov, Dmitry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2008 |
| Last updated | May 2nd, 2024 - about 4 months 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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