Wisotsky, Lisa

Wisotsky, Lisa is an individual health care provider with primary practice located at 15 Engle St Ste 205, Englewood NJ 07631-2927. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Wisotsky, Lisa can be contacted via phone (201) 567-2277.

Contact Information

Primary practice address
15 Engle St Ste 205 Englewood NJ 07631-2927
Phone: (201) 567-2277
Fax: (201) 567-7506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MA62845 New Jersey
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 186896 1 New York

Profile Details

NPI number 1780669119
LBN Legal business name Wisotsky, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Mar 7th, 2023 - about last year

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 1780669119 NPPES
New Jersey Other D06792300 CDS

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