Individual
LILY RASOULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-1653
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11133300
NJ
208M00000X
Hospitalist Physician
Primary
323840
NY
208M00000X
Hospitalist Physician
35.145438
OH
Other
Enumeration date
04/27/2018
Last updated
09/06/2023
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