Individual
JULIAN SISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065
(212) 746-5454
Mailing address
525 E 68TH ST, NEW YORK, NY 10065
(212) 746-5454
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1578192076
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
10/23/2025
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