Organization
LISA M JOHNSON M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M JOHNSON M.D. (PHYSICIAN)
(212) 861-2564
Entity
Organization
Contact information
Practice address
907 5TH AVE, STE 1E, NEW YORK, NY 10021-4156
(212) 861-2564
(212) 517-6499
Mailing address
907 5TH AVE, STE 1E, NEW YORK, NY 10021-4156
(212) 861-2564
(212) 517-6499
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
206723
NY
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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