Individual
DR. LISA NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-4636
Mailing address
8 ROCKLEDGE DR # 7J, PELHAM, NY 10803-3311
(312) 259-5696
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
249145
NY
Other
Enumeration date
06/18/2008
Last updated
05/18/2023
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