Individual
DR. LISA ELIZABETH VIANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-5320
(914) 948-0560
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-5320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233012
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
233012
NY
207RI0200X
Infectious Disease Physician
233012
NY
Other
Enumeration date
01/10/2006
Last updated
10/31/2014
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