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Organization
LISA ROSE DURSO, MD PLLC
Active
Organization
LISA ROSE DURSO, MD PLLC
Active
Other names
Lisa Rose Durso, MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GIACINTA VITIELLO (ADMINISTRATIVE ASSISTANT)
(646) 828-5756
Entity
Organization
Contact information
Practice address
30 E 60TH ST, 808, NEW YORK, NY 10022-1008
(646) 828-5756
(844) 742-8378
Mailing address
30 E 60TH ST, 808, NEW YORK, NY 10022-1008
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457479123
NPI
—
01
—
201203
INTERNAL MEDICINE
NY
Enumeration date
11/27/2017
Last updated
06/16/2018
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