Individual
DR. HOWARD LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 DEAN DR STE 1, TENAFLY, NJ 07670-2762
(201) 390-9200
(201) 871-2214
Mailing address
111 DEAN DR STE 1, TENAFLY, NJ 07670-2762
(201) 390-9200
(201) 871-2214
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1323221
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA03903100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003227200
CDS
NJ
Enumeration date
11/26/2005
Last updated
03/07/2023
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