Individual
LIZA MISHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
271431
NY
Other
Enumeration date
04/20/2012
Last updated
03/01/2021
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