Individual
DR. LISSA PEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
STONY BROOK UNIVERSITY MEDICAL CTR, HSC T12-RM 060, STONY BROOK, NY 11794-8122
(631) 444-8117
(631) 444-1535
Mailing address
STONY BROOK UNIVERSITY MEDICAL CTR, HSC T12-RM 060, STONY BROOK, NY 11794-8122
(631) 444-8117
(631) 444-1535
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
003863
NY
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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