# MANHATTAN OCULOFACIAL PLASTIC SURGERY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942412572
- **Authorized official:** DR. BOAZ JACOB LISSAUER MD (OWNER)
- **Authorized official phone:** (212) 717-2150

## Contact information

- **Practice address:** 1036 PARK AVE \# 1C, NEW YORK, NY 10028
- **Practice address phone:** (212) 717-2150
- **Mailing address:** 475 E 72ND ST, SUITE\#101, NEW YORK, NY 10021-4458
- **Mailing address phone:** (212) 717-2150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 208452 | NY | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 07/23/2018