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Individual
DR. DMITRY LISENENKOV
Active
Individual
DR. DMITRY LISENENKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
25MA11111600
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
249407
NY
Other
Enumeration date
07/07/2008
Last updated
05/02/2024
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