Individual
LISA DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6158
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6158
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
256262-1
NY
Other
Enumeration date
04/14/2010
Last updated
04/15/2010
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