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Organization
MANHATTAN OCULOFACIAL PLASTIC SURGERY, PC
Active
Organization
MANHATTAN OCULOFACIAL PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOAZ JACOB LISSAUER MD (OWNER)
(212) 717-2150
Entity
Organization
Contact information
Practice address
1036 PARK AVE # 1C, NEW YORK, NY 10028
(212) 717-2150
Mailing address
475 E 72ND ST, SUITE#101, NEW YORK, NY 10021-4458
(212) 717-2150
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
208452
NY
Other
Enumeration date
05/04/2007
Last updated
07/23/2018
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