# LISA M BARTOLI DO, PLLC

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

## Provider details

- **NPI number:** 1942661194
- **Authorized official:** DR. LISA BARTOLI D.O. (DOCTOR OF OSTEOPATHIC MEDICINE)
- **Authorized official phone:** (212) 421-1735

## Contact information

- **Practice address:** 119 W 57TH ST, SUITE 212, NEW YORK, NY 10019-2303
- **Practice address phone:** (212) 421-1735
- **Practice address fax:** (212) 421-1750
- **Mailing address:** 119 W 57TH ST, SUITE 212, NEW YORK, NY 10019-2303
- **Mailing address phone:** (212) 421-1735
- **Mailing address fax:** (212) 421-1750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 217611 | NY | Yes |

## Other

- **Enumeration date:** 03/16/2016
- **Last updated:** 06/14/2016