Individual
DR. LISA SIQIN REN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23 HONEYSUCKLE COURT, MELVILLE, NY 11747-4239
(631) 756-4620
(631) 756-4620
Mailing address
23 HONEYSUCKLE COURT, MELVILLE, NY 11747-4239
(631) 756-4620
(631) 756-4620
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
235794-1
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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