Individual
DR. RICHARD DEAN LISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.S
Contact information
Practice address
635 PARK AVE, NEW YORK, NY 10021-6546
(212) 585-1405
(212) 585-1408
Mailing address
635 PARK AVE, NEW YORK, NY 10021-6546
(212) 585-1405
(212) 585-1408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1311301
NY
207W00000X
Ophthalmology Physician
131130
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
131130
NY
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
131130
NY
Other
Enumeration date
07/21/2005
Last updated
04/29/2016
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