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Organization

LIONDALE MANAGEMENT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIONELL BISSOON DO (PROVIDER)
(212) 579-9136
Entity
Organization

Contact information

Practice address
10 W 74TH ST APT 1D, NEW YORK, NY 10023-2404
(212) 579-9136
(212) 579-6917
Mailing address
10 W 74TH ST APT 1D, NEW YORK, NY 10023-2404
(212) 579-9136
(212) 579-6917

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
193423
NY

Other

Enumeration date
10/05/2011
Last updated
10/05/2011
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