Individual
PHILIP LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9022
Mailing address
500 UNIVERSITY DRIVE, HERSHEY, PA 17033
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
311241
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311241
NYS LICENSE
NY
Enumeration date
05/11/2015
Last updated
06/23/2021
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