Individual
LISA BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 MARCUS AVE STE 202, NEW HYDE PARK, NY 11042-1086
(516) 216-1777
Mailing address
2800 MARCUS AVE STE 202, NEW HYDE PARK, NY 11042-1086
(914) 806-7249
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
299782
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
299782
NY
Other
Enumeration date
05/05/2016
Last updated
05/21/2023
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