Individual
DR. LISA ERIKA AMATANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-9729
Mailing address
525 E 68TH STREET, BOX 141, NEW YORK, NY 10065-4870
(212) 746-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
286964
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
286964
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0806352132
BCBC BCN
MI
01
—
7435831
AETNA
MI
Enumeration date
12/27/2006
Last updated
09/12/2023
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