Individual
LISA PRIMIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 HUDSON ST, NEW YORK, NY 10013-3802
(212) 441-4401
(212) 867-4353
Mailing address
129 W 29TH ST FL 10, NEW YORK, NY 10001-5105
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
25MA08900100
NJ
207QA0505X
Adult Medicine Physician
Primary
298584
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271675
—
NJ
01
—
P01125244
RAILROAD MEDICAR
NJ
Enumeration date
07/01/2011
Last updated
09/12/2019
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