Individual
DR. LYNN ELEANO DELISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 1ST AVE FL 5, ROOM 543, NEW YORK, NY 10016-3240
(212) 263-3406
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(212) 263-3406
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
170325
NY
2084P0800X
Psychiatry Physician
Primary
80356
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170325
MEDICAL LICENSE
NY
Enumeration date
12/05/2007
Last updated
10/28/2019
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