Individual
DR. DAVID NICHOLAS LISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33-57 HARRISON STREET, JOHNSON CITY, NY 13790
(607) 763-6104
Mailing address
324 FOSTER RD, VESTAL, NY 13850-5416
(607) 785-0918
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
128024
NY
Other
Enumeration date
03/08/2006
Last updated
12/31/2014
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