Individual
MENACHEM LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(917) 634-5311
(888) 815-3583
Mailing address
PO BOX 24449, NEW YORK, NY 10087-0589
(833) 351-8255
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
316507
NY
2084P0800X
Psychiatry Physician
DR.0068300
CO
Other
Enumeration date
03/30/2018
Last updated
10/28/2025
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