Liswood, Paul Jason

Liswood, Paul Jason is an sole proprietor health care provider with primary practice located at 7212 4Th Ave , Brooklyn NY 11209-2552. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Liswood, Paul Jason can be contacted via phone (718) 745-0256.

Contact Information

Primary practice address
7212 4Th Ave Brooklyn NY 11209-2552
Phone: (718) 745-0256
Fax: (718) 833-0505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X NOO5182 New York

Profile Details

NPI number 1740394600
LBN Legal business name Liswood, Paul Jason
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Apr 1st, 2008 - about 16 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 1740394600 NPPES
New York MEDICAID 02012820

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