Organization
MANHATTAN OCULOFACIAL PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOAZ JACOB LISSAUER MD (OWNER)
(212) 717-2150
Entity
Organization
Contact information
Practice address
1036 PARK AVE # 1C, NEW YORK, NY 10028
(212) 717-2150
Mailing address
475 E 72ND ST, SUITE#101, NEW YORK, NY 10021-4458
(212) 717-2150
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
208452
NY
Other
Enumeration date
05/04/2007
Last updated
07/23/2018
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