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Individual

DR. LIONEL BISSOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10 W 74TH ST, SUITE 1E, NEW YORK, NY 10023-2403
(212) 579-9136
(212) 579-6917
Mailing address
10 W 74TH ST, SUITE 1E, NEW YORK, NY 10023-2403
(212) 579-9136
(212) 579-6917

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
193423
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
20A8115
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
OS 8296
FL

Other

Enumeration date
07/22/2008
Last updated
07/22/2008
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