Individual
DR. LISA FLORENCE IMUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE FL 2, COLUMBIA UNIVERSITY DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10032-3729
(212) 304-7250
Mailing address
161 FORT WASHINGTON AVE FL 2, COLUMBIA UNIVERSITY, NEW YORK, NY 10032-3729
(212) 304-7250
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
180212-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605063
—
NY
Enumeration date
11/23/2005
Last updated
11/24/2015
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