Individual
DR. LISA SIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
50 W 34TH ST, NEW YORK, NY 10001-3097
(617) 902-0305
Mailing address
50 W 34TH ST, NEW YORK, NY 10001-3097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058046
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2014
Last updated
03/08/2017
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