Organization
LISA ROSE DURSO, MD PLLC
Active
Other names
Lisa Rose Durso, MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GIACINTA VITIELLO (ADMINISTRATIVE ASSISTANT)
(646) 828-5756
Entity
Organization
Contact information
Practice address
30 E 60TH ST, 808, NEW YORK, NY 10022-1008
(646) 828-5756
(844) 742-8378
Mailing address
30 E 60TH ST, 808, NEW YORK, NY 10022-1008
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457479123
NPI
—
01
—
201203
INTERNAL MEDICINE
NY
Enumeration date
11/27/2017
Last updated
06/16/2018
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