Individual
MS. LISA CHRISTINE BOZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1275 YORK AVE, MRI 1026, NEW YORK, NY 10065-6007
(212) 639-7467
(212) 794-5812
Mailing address
1275 YORK AVE, MRI 1026, NEW YORK, NY 10065-6007
(212) 639-7467
(212) 794-5812
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005747
NY
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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