Individual
LIZIAMMA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5835
(718) 780-5836
Mailing address
PO BOX 5450, NEW YORK, NY 10087-5450
(718) 780-5835
(718) 780-5836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
177993
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
177993
NY
207RP1001X
Pulmonary Disease Physician
177993
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
177993
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01439156
—
NY
Enumeration date
03/24/2006
Last updated
04/18/2023
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